Grisell Ortiz Lasanta, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16800 Issued in PR

Practice address

998 Ave Munoz Rivera
San Juan, PR 00927-4308

Phone

(787) 722-1248

NPI assigned

Jun 6, 2007

Last updated

Jul 3, 2019By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1538362918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CAMINO LOS AQUINOS",
            "address_2": "APT 123",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009767901",
            "telephone_number": "787-722-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 AVE MUNOZ RIVERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274308",
            "telephone_number": "787-722-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ LASANTA",
        "first_name": "GRISELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalisha Nicanielys Ortiz Flores
• Alana Nicole Ortiz Fraguada
• Marigloria Ortiz Gonzalez, PT
• Ruth M Ortiz Gonzalez, OPTOMETRIST
• Yaniris Ortiz Gonzalez
• Elizabeth Ortiz Laviera
• Deyaneira D Ortiz Lorenzo
• Delmaris Ortiz Martes
• Mariana Judith Ortiz Martinez, M. D.
• Brenda L Ortiz Matos, DSW

• Internal Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.