Individual provider Active NPI

Gabriella Rivera Ortiz, MD

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1366972929
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22372 Issued in PR
Practice address
1008 Avenida Americo Miranda
San Juan, PR 00921
Phone
(787) 758-2525
NPI assigned
Jun 15, 2017
Last updated
Sep 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 22372 PR Primary
General Practice Physician 208D00000X 33693 PR

Addresses

Primary practice location

1008 Avenida Americo Miranda
San Juan, PR 00921

Mailing address

PO Box 365067
San Juan, PR 00936-5067

Other practice location 1

1156 Calle 62 SE
San Juan, PR 00921-2724
Phone (787) 758-2525 ext. 2352

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
I20211209001423 PR Practitioner - Obstetrics/Gynecology 5890185649 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33693PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complex GYN LLC CurrentSince Aug 19, 2024 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Sep 8, 2021 Accepting new patients
Recinto de Ciencias Medicas Obstetrics & Gynecology CurrentSince Sep 8, 2021 Accepting new patients
Bayamon Medical Center Corp CurrentSince Oct 20, 2025 Accepting new patients
Am Acquisition I, LLC Past Accepting new patients

Locations

500 Ave Munoz Rivera
Ste 217
San Juan, PR 00918
Phone (787) 479-9283

Hospital Universitario De Adultos
San Juan, PR 00935
Phone 78775401013660

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1366972929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 AVENIDA AMERICO MIRANDA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-758-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1156 Calle 62 SE",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009212724",
            "country_code": "US",
            "telephone_number": "787-758-2525 x2352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA ORTIZ",
        "first_name": "GABRIELLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "22372",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "33693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.