Individual provider Active NPI

Cristina Isabel Ortiz, M.D.

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1619266178
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20307 Issued in PR
Practice address
Avenida Font Martelo #300
Humacao, PR 00792-0000
Phone
(787) 852-0505
NPI assigned
Apr 5, 2011
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 20307 PR Primary

Addresses

Primary practice location

Avenida Font Martelo #300
Humacao, PR 00792-0000

Mailing address

Condominio Playa Azul II
Apt 709
Luquillo, PR 00773-0000
Phone (939) 332-3040

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140603001864 PR Practitioner - General Practice 0941423388 Reassigns benefits to 1 organization
Practice locations: Humacao, PR; Naguabo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
PR Healthcare Management Group CurrentSince Jan 21, 2018 Accepting new patients
PR Healthcare Management Group CurrentSince Jan 21, 2018 Accepting new patients
Xpress Medical Transport Corp Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1619266178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO PLAYA AZUL II",
            "address_2": "APT 709",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007730000",
            "telephone_number": "939-332-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA FONT MARTELO #300",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920000",
            "telephone_number": "787-852-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "CRISTINA",
        "middle_name": "ISABEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "20307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.