Individual provider Active NPI

Martin Ortiz, MD

  • Specialist
  • San Juan, PR
National Provider Identifier
1487661146
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5348 Issued in PR
Practice address
562 Calle Juan J Jimenez
San Juan, PR 00918-3722
Phone
(787) 763-8932
Fax
(787) 763-8533
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5348 PR Primary

Addresses

Primary practice location

562 Calle Juan J Jimenez
San Juan, PR 00918-3722

Mailing address

PO Box 640
Puerto Real, PR 00740-0640
Phone (787) 763-8932

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
I20050622000047 PR Practitioner - Gastroenterology 8921043829 Practice locations: Fajardo, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

562 Calle Juan J Jimenez
San Juan, PR 00918-3722
Phone (787) 763-8932

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy267
Upper gastrointestinal (GI) endoscopy for acid reflux110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5348PRMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487661146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "PUERTO REAL",
            "state": "PR",
            "postal_code": "007400640",
            "telephone_number": "787-763-8932",
            "fax_number": "787-763-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 CALLE JUAN J JIMENEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183722",
            "telephone_number": "787-763-8932",
            "fax_number": "787-763-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "5348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.