Active NPI
Hermes G. Rosario Ortiz, PSY.D.
- Clinical Psychologist
- Aguada, PR
National Provider Identifier
1316284169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 004639
- Practice address
- Carr. 417 KM 2.7 Bo Malpaso
Edif. Carribean Office Park
Aguada, PR 00602 - Phone
- (787) 868-1828
- NPI assigned
- Jan 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 004639 | PR | Primary |
Addresses
Primary practice location
Carr. 417 KM 2.7 Bo Malpaso
Edif. Carribean Office Park
Aguada, PR 00602
Mailing address
PO Box 1635
Aguadilla, PR 00605-1635
Phone (787) 244-1475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004639 | PR | MD | Clinical Psychologist |
| 4639 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosario Ortiz Mental Health Services PSC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Aguada, PR
- NPI 1275966111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459555200000",
"number": "1316284169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1635",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006051635",
"telephone_number": "787-244-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 417 KM 2.7 BO MALPASO",
"address_2": "EDIF. CARRIBEAN OFFICE PARK",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-868-1828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO ORTIZ",
"first_name": "HERMES",
"middle_name": "G.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-14",
"last_updated": "2016-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "004639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.