Active NPI
Miguel Angel Ortiz Caldero, MD
- Family Medicine Physician
- Corozal, PR
National Provider Identifier
1376692483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6237
- Practice address
- Plaza del Carmen
Oficina 209,Bo Pueblo
Corozal, PR 00783-0620 - Phone
- (787) 859-1901
- Fax
- (787) 859-1901
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6237 | PR | Primary |
Addresses
Primary practice location
Plaza del Carmen
Oficina 209,Bo Pueblo
Corozal, PR 00783-0620
Mailing address
PO Box 620
Corozal, PR 00783-0620
Phone (787) 859-1901
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111209000784 | PR | Practitioner - Family Practice | 1153596796 | Practice locations: Corozal, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Plaza del Carmen
Suite 209
Corozal, PR 00783
Phone (787) 859-1901
PO Box
Suite 620
Corozal, PR 00783
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6237 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plaza del Carmen Medical Services Inc. | 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.
-
- Emergency Care Clinic/Center
- Corozal, PR
- NPI 1699169607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376692483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 620",
"city": "COROZAL",
"state": "PR",
"postal_code": "007830620",
"telephone_number": "787-859-1901",
"fax_number": "787-859-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA DEL CARMEN",
"address_2": "OFICINA 209,BO PUEBLO",
"city": "COROZAL",
"state": "PR",
"postal_code": "007830620",
"telephone_number": "787-859-1901",
"fax_number": "787-859-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ CALDERO",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "6237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corozal, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.