Consultorio Medico Mlo Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CONSULTORIO MEDICO MLO INC

Practice address

Calle Marginal Carr 129
Sector Denton
Arecibo, PR 00613

Phone

(787) 650-1363

Fax

(787) 650-1363

NPI assigned

Apr 5, 2011

Last updated

Jul 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Lourdes Ortiz de la Cruz, MD

Title

Administradora

Phone

(787) 650-1363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Consultorio Medico M L O Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Consultorio Medico M L O Inc

  • Primary Care Clinic/Center
  • Arecibo, PR
  • NPI 1043558547
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Lourdes Ortiz, MD

  • General Practice Physician
  • Arecibo, PR
  • NPI 1538109822
  Medicare reassignment

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1538458161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142784",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006142784",
            "telephone_number": "787-650-1363",
            "fax_number": "787-650-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MARGINAL CARR 129",
            "address_2": "SECTOR DENTON",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00613",
            "telephone_number": "787-650-1363",
            "fax_number": "787-650-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTORIO MEDICO MLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "ORTIZ DE LA CRUZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LOURDES",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-650-1363",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel A Colon, M.D.
• Sonia M. Colon, O.D.
• Omar Antonio Concepcion, MD
• Consultorio Medico Dr Aquiles Alvarez & Asociados CSP
• Consultorio Medico M L O Inc
• Jonathan Cordero Jimenez, MD
• Angel G. Cordero-Ventura
• Adelly Antoinette Cordero
• Ivonne Cordova, LND
• Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo

• General Practice Physician in Arecibo, PR
• Providers in Arecibo, 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 Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.