Individual provider Active NPI

Nilmar Nieves Ortiz, MD

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1518416239
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21617 Issued in PR
Practice address
550 Calle Sergio Cuevas Bustamante Ave Domenech
San Juan, PR 00918
Phone
(787) 758-8383
Fax
(787) 763-9758
NPI assigned
Sep 22, 2016
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21617 PR Primary

Addresses

Primary practice location

550 Calle Sergio Cuevas Bustamante Ave Domenech
San Juan, PR 00918

Mailing address

PO Box 364708
San Juan, PR 00936-4708
Phone (787) 758-8383

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
I20251118004568 PR Practitioner - Obstetrics/Gynecology 3173014040 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 Ave Roosenvelt
San Juan, PR 00918
Phone (787) 282-6675

525 Ave Roosevelt
Suite 701
San JUan, PR 00918

Ave Ana G Mendez
Suite 178
San Juan, PR 00926

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21617PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dfem LLC Obstetrics & Gynecology PastSince May 1, 2020 Accepting new patients
Gyne-OB Medical LLC PastSince Oct 27, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1518416239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364708",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364708",
            "telephone_number": "787-758-8383",
            "fax_number": "787-763-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CALLE SERGIO CUEVAS BUSTAMANTE AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-758-8383",
            "fax_number": "787-763-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES ORTIZ",
        "first_name": "NILMAR",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "21617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.