Individual provider Active NPI

Julio Ortiz McWilliam, M.D.

  • Otolaryngology Physician
  • Humacao, PR
National Provider Identifier
1336219880
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
9187 Issued in PR
Practice address
5 Calle Dufresne E
Humacao, PR 00791-3605
Phone
(787) 656-5247
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 9187 PR Primary

Addresses

Primary practice location

5 Calle Dufresne E
Humacao, PR 00791-3605

Mailing address

5 Calle Dufresne E
Humacao, PR 00791-3605
Phone (787) 656-5247

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080529000871 PR Practitioner - OtolaryngologyPractitioner - Medical Oncology 0446267587 Practice locations: Caguas, PR; Humacao, PR

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Medical Oncology
Education
Georgetown University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

51 Calle Flor Gerena S
Humacao, PR 00791-4207

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9187PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336219880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALLE DUFRESNE E",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913605",
            "telephone_number": "787-656-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE DUFRESNE E",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913605",
            "telephone_number": "787-656-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ MCWILLIAM",
        "first_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "9187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.