Ricardo M Calderon Ortiz, M.D. – Nephrology Physician

Key facts

NPI: 1548468804
Entity type: Individual (NPI type 1)
Primary specialty: Nephrology Physician 207RN0300X
License: 17630 (PR)
Practice address: Calle 66 # 694
Urb. Veredas
Gurabo, PR 00777
Phone: (787) 366-7961
NPI assigned: Jul 10, 2007
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

RC Nephrology and Hypertension PSC Nephrology Physician · Gurabo, PR · NPI 1841604329

Medicare reassignment NPD Authorized official NEPHROLOGY · PR

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Bio-Medical Applications of Puerto Rico, Inc. End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Las Piedras, PR · NPI 1639562549

Care Compare affiliation Name & address match Dialysis facility
Hospital Menonita Caguas Inc General Acute Care Hospital · Caguas, PR · NPI 1003185455

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nephrology
Also: Internal Medicine
Education: University Central del Caribe Escuela de Medicina, 2006
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone (787) 360-5040

Hospital & facility affiliations

Atlantis Caguas Dialysis facility · Caguas, PR · CCN 402538
Atlantis Juncos Dialysis facility · Juncos, PR · CCN 402547
FMC Las Piedras Dialysis facility · Las Piedras, PR · CCN 402553
Hospital Menonita Caguas Inc Hospital · Caguas, PR · CCN 400104

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PR
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20110822000032	PR	Practitioner - Nephrology Practitioner - Internal Medicine	2062682545	Reassigns benefits to 1 organization Practice locations: Caguas, PR

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
17630	PR	MD	Social Worker

Practice roles

Organization	Specialty	Status	New patients
RC Nephrology and Hypertension PSC	Nephrology	Current since May 11, 2024	Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nephrology Physician	207RN0300X	17630	PR	Yes

Addresses

Primary practice location

Calle 66 # 694
Urb. Veredas
Gurabo, PR 00777

Mailing address

409 Reina de Las Flores
Sabanera del Rio
Gurabo, PR 00778
Phone (787) 366-7961

Other providers in Gurabo, PR

All providers in Gurabo, PR · Nephrology Physician in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.