Petra J Ortiz, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5349 Issued in PR

Practice address

102 Calle Carazo
Guaynabo, PR 00969-5717

Phone

(787) 720-3053

Fax

(787) 287-4690

NPI assigned

Sep 7, 2006

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

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 and National Provider Directory roles.

• Laboratorio Clinico del Pueblo Inc

  • Clinical Medical Laboratory
  • Guaynabo, PR
  • NPI 1235249954
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1609970094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12-C STREET",
            "address_2": "MIRADOR DE BORINQUEN GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266455",
            "telephone_number": "787-720-3053",
            "fax_number": "787-287-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695717",
            "telephone_number": "787-720-3053",
            "fax_number": "787-287-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "PETRA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grisselle Lynette Ortiz, PHARM.D.
• Layda Ortiz
• Leonardo Ortiz
• Luis Ortiz
• Myrna Karelis Ortiz
• Waleska M. Ortiz
• Mignelly Osorio Amaro
• Viviana Ossa, MD
• Luis A Otero Berrios, 1329P
• Carlos Otero Rodriguez, 0773P

• General Practice Physician in Guaynabo, PR
• Providers in Guaynabo, 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 Aug 10, 2017; 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.