Jose Ismael Ortiz, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17418 Issued in PR

Practice address

600 Blvd de la Montana Apt 339
San Juan, PR 00926-7114

Phone

(787) 412-9773

NPI assigned

Dec 27, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Hair MD LLC

  • Clinic/Center
  • San Juan, PR
  • NPI 1306520895
  NPD Authorized official
• Telemedico PSC

  • General Practice Physician
  • San Juan, PR
  • NPI 1396236741
  NPD (past) Authorized official

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

{
    "created_epoch": "1230336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1457597239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLVD DE LA MONTANA APT 339",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267114",
            "telephone_number": "787-412-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BLVD DE LA MONTANA APT 339",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267114",
            "telephone_number": "787-412-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JOSE",
        "middle_name": "ISMAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-27",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerardo L. Ortiz, M.D.
• Iris Ortiz
• Jomar Ortiz, LND, MLS(ASCP)CM
• Jose Antonio Ortiz, M.D.
• Jose E Ortiz
• Jose Miguel Ortiz, MD
• Juan Ortiz
• July V Ortiz, MSW
• Leslie Ann Ortiz II
• Luis Enrique Ortiz, RPH

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.