Active NPI
Juan Luis Ortiz Matos, MD
- Internal Medicine Physician
- Corozal, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9695
- Practice address
- Calle 1 Casa 1 Urb. Sanfeliz
Corozal, PR 00783 - Phone
- (787) 859-0112
- Fax
- (787) 859-6846
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9695 | PR | Primary |
Addresses
Primary practice location
Calle 1 Casa 1 Urb. Sanfeliz
Corozal, PR 00783
Mailing address
PO Box 1117
Corozal, PR 00783-1117
Phone (787) 406-0626
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 |
|---|---|---|---|---|
| I20120214000181 | PR | Practitioner - Internal Medicine | 2264434059 | Practice locations: Corozal, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
A1 Urb San Feliz
Suite 1
Corozal, PR 00783-2900
Phone (787) 406-0626
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corporacion Ortiz Negron Centro Radiologico Corozal | 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.
-
dba Centro Radiologico Sonografico Digital Corozal
- Radiography Radiologic Technologist
- Corozal, PR
- NPI 1063468379
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Servicios de salud en el Hogar Geminis y Hospicio
- Community Based Hospice Care Agency
- Corozal, PR
- NPI 1235217852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1447293816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1117",
"city": "COROZAL",
"state": "PR",
"postal_code": "007831117",
"telephone_number": "787-406-0626",
"fax_number": "787-859-6846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 1 CASA 1 URB. SANFELIZ",
"city": "COROZAL",
"state": "PR",
"postal_code": "00783",
"telephone_number": "787-859-0112",
"fax_number": "787-859-6846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ MATOS",
"first_name": "JUAN",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "9695",
"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 May 12, 2011; 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.