Individual provider Active NPI

Moises Florian Ortiz, M.D.

  • Pediatrics Physician
  • Mayaguez, PR
National Provider Identifier
1407994411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13674 Issued in PR
Practice address
312 Calle Vista Bahia
Cerro Las Mesas
Mayaguez, PR 00680-8310
Phone
(787) 449-6703
NPI assigned
Feb 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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
Pediatrics Physician 208000000X 13674 PR Primary

Addresses

Primary practice location

312 Calle Vista Bahia
Cerro Las Mesas
Mayaguez, PR 00680-8310

Mailing address

312 Calle Vista Bahia
Cerro Las Mesas
Mayaguez, PR 00680-8310
Phone (787) 449-6703

Other identifiers 1

IdentifierTypeStateIssuer
13674OtherPRLICENCE MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13674PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayaguez Medical Center - San Antonio 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, 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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407994411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CALLE VISTA BAHIA",
            "address_2": "CERRO LAS MESAS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006808310",
            "telephone_number": "787-449-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CALLE VISTA BAHIA",
            "address_2": "CERRO LAS MESAS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006808310",
            "telephone_number": "787-449-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORIAN ORTIZ",
        "first_name": "MOISES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "13674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE MD",
            "identifier": "13674",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.