Active NPI
Rafael Ortiz Roman, MD
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1598740086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 009890
- Practice address
- Ave 402 Munoz Rivera
Multy-Medicalfacility
San Juan, PR 00920 - Phone
- (787) 429-3867
- Fax
- (787) 705-8677
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 009890 | PR | Primary |
Addresses
Primary practice location
Ave 402 Munoz Rivera
Multy-Medicalfacility
San Juan, PR 00920
Mailing address
PO Box 328
Salinas, PR 00751
Phone (787) 429-3867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009890 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aguadilla Medical Services, Inc | Past | Accepting new patients |
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.
-
- Radiology Clinic/Center
- Aguadilla, PR
- NPI 1902210800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435622400000",
"number": "1598740086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 328",
"city": "SALINAS",
"state": "PR",
"postal_code": "00751",
"telephone_number": "787-429-3867",
"fax_number": "787-705-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE 402 MUNOZ RIVERA",
"address_2": "MULTY-MEDICALFACILITY",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-429-3867",
"fax_number": "787-705-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ ROMAN",
"first_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2015-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "009890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.