Individual provider Active NPI

Joan Ortiz Padilla, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1366059354
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21983 Issued in PR
Practice address
1034 Ave Hostos
Ponce, PR 00716-1115
Phone
(787) 843-9393
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21983 PR Primary

Addresses

Primary practice location

1034 Ave Hostos
Ponce, PR 00716-1115

Mailing address

1034 Ave Hostos
Ponce, PR 00716-1115
Phone (787) 843-9393

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
I20210217002320 PR Practitioner - General Practice 0345655767 Reassigns benefits to 1 organization
Practice locations: Juana Diaz, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Centro IncGroup PAC ID 5890692131, 62 clinicians

Practice addresses (Care Compare)

1034 Ave Hostos
Ponce, PR 00716-1115
Phone 78784393931025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21983PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Med Centro, Inc. General Practice Current Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients

Locations

1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279

Interoperability endpoints

  • Direct secure messaging: joan.ortiz@medcentro.directbygreenway.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1366059354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 AVE HOSTOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161115",
            "telephone_number": "787-843-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 AVE HOSTOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161115",
            "telephone_number": "787-843-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ PADILLA",
        "first_name": "JOAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.