Randy Ortiz Irizarry, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

023508 Issued in PR

Practice address

Jardines de Santa Ana
F-5 Calle 5
Coamo, PR 00769

Phone

(787) 702-2018

NPI assigned

Sep 14, 2023

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Mennonite General Hospital Inc

  • General Acute Care Hospital
  • Aibonito, PR
  • NPI 1851320394
  Medicare reassignment NPD
• Mennonite General Hospital Inc

  dba Grupo Medico Menonita Aibonito

  • Specialist
  • Aibonito, PR
  • NPI 1043347768
  NPD
• Mennonite General Hospital Inc.

  dba Centro de Salud Conductual Menonita CIMA-Ponce

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponce, PR
  • NPI 1144099813
  NPD

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1508643230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JARDINES DE SANTA ANA",
            "address_2": "F-5 CALLE 5",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-702-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JARDINES DE SANTA ANA",
            "address_2": "F-5 CALLE 5",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-702-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ IRIZARRY",
        "first_name": "RANDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neomed Transport
• Noel Gonzalez Ortiz
• Norat Rivera Mercado Inc (Super Farmocia Amiga)
• Frances Norat, RD, LND, MHSN
• Myrna Luz Norat, RPH
• Frances Marie Ortiz Torres
• Maria Victoria Ortiz Torres
• Kristy Marialis Ortiz, PSY.D
• Manuel Muniz Ortiz
• Raul D Ortiz

• General Practice Physician in Coamo, PR
• Providers in Coamo, 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 Sep 14, 2023; 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.