Edgardo Luis Ortiz Gines, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

756 Issued in PR

Practice address

Rio Grande Town Center Carr 3 Suite a-19
Rio Grande, PR 00745

Phone

(787) 988-7061

NPI assigned

Jul 27, 2022

Last updated

Dec 24, 2024By the provider in NPPES

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Ecb Humacao

  dba Eye Center Boutique

  • Optometrist
  • Fajardo, PR
  • NPI 1104604768
  Medicare reassignment
• Ecb Humacao LLC

  • Optometrist
  • Caguas, PR
  • NPI 1164237269
  NPD (past)

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1518693100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 7F8 RINCON ESPANOL",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "939-274-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIO GRANDE TOWN CENTER CARR 3 SUITE A-19",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-988-7061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Plaza Fajardo Carr 3 Suite 125",
            "address_purpose": "LOCATION",
            "city": "Fajardo",
            "state": "PR",
            "postal_code": "00738",
            "country_code": "US",
            "telephone_number": "787-801-5896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Palma Real Carr 3 Suite 170",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "00791",
            "country_code": "US",
            "telephone_number": "787-850-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ GINES",
        "first_name": "EDGARDO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Opti-Citi
• Sarai Joan Orellano
• Noriam Gomez Ortega, P.T.A
• Kamalich Victoria Ortiz Flores, RN
• Isamaris Ortiz Fuentes, DPT
• Ilia Yahjaira Ortiz-Castro
• Carmen Yaismar Ortiz, M.D.
• Tedshla Zorivette Ortiz, MS
• Barbara M Otero Vazquez, PHD, CHT
• Jose Antonio Otero, MD

• Optometrist in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.