Osvaldo Miguel Ortiz Bou, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23237 Issued in PR

Practice address

951 Carr 891
Plaza del Carmen Suite 208
Corozal, PR 00783

Phone

(787) 859-1901

NPI assigned

May 31, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1316630791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LA VILLA DE TORRIMAR",
            "address_2": "466 REY LUIS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693170",
            "telephone_number": "787-564-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 CARR 891",
            "address_2": "PLAZA DEL CARMEN SUITE 208",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-859-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ BOU",
        "first_name": "OSVALDO",
        "middle_name": "MIGUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novo-Vision Ophthalmology Clinic PSC
• Nutre-Vida Clinic LLC
• Edgardo E Olivencia, DMD
• Optica Real LLC
• Miguel Angel Ortiz Bou, M.D.
• Miguel Angel Ortiz Caldero, MD
• Juan M Ortiz Colon Sr., OD
• Ortiz Emergency LCC
• Ortiz Emergency Response LLC
• Juan Luis Ortiz Matos, MD

• General Practice Physician in Corozal, PR
• Providers in Corozal, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.