Individual provider Active NPI

Pablo Rodriguez-Ortiz, MD

  • Surgical Critical Care Physician
  • Rio Piedras, PR
National Provider Identifier
1427072735
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
9076 Issued in PR
Practice address
Centro de Trauma - Asem
Centro Medico de PR
Rio Piedras, PR 00935
Phone
(787) 777-3760
Fax
(787) 777-3781
NPI assigned
Jul 27, 2006
Last updated
May 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9076 PR
Surgical Critical Care Physician 2086S0102X 9076 PR Primary
Trauma Surgery Physician 2086S0127X 9076 PR

Addresses

Primary practice location

Centro de Trauma - Asem
Centro Medico de PR
Rio Piedras, PR 00935

Mailing address

Cirugia Trauma RCM
PO Box 29134
San Juan, PR 00929-0134
Phone (787) 777-3760

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
I20120717000132 PR Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 3870759038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
University of Puerto Rico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Bo Monacillos
Centro Medico de Puerto Rico
Rio Piedras, PR 00935
Phone (787) 754-0101

Hospital & facility affiliations

  • Asem Hospital, San Juan, PR, CCN 400127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9076PRMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Trauma Surgery CurrentSince Oct 6, 2001 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 6, 2001 Accepting new patients
Administracion de Servicios Medicos de Puerto Rico Past Accepting new patients

Locations

BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440

BO Monacillos Centro Medico De Puerto Rico
San Juan, PR 00935
Phone (781) 763-4149

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1427072735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CIRUGIA TRAUMA RCM",
            "address_2": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-777-3760",
            "fax_number": "787-777-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO DE TRAUMA - ASEM",
            "address_2": "CENTRO MEDICO DE PR",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-777-3760",
            "fax_number": "787-777-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-ORTIZ",
        "first_name": "PABLO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "9076",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PR",
            "license": "9076",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "PR",
            "license": "9076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.