Individual provider Active NPI

Miguel Angel Ortiz Caldero, MD

  • Family Medicine Physician
  • Corozal, PR
National Provider Identifier
1376692483
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6237 Issued in PR
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

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
6237PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Plaza del Carmen Medical Services Inc. PastSince Jan 26, 2016 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.

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

Verify at the official NPI Registry.