Individual provider Active NPI

Jose David Ortiz-Rosario, M.D.

  • Nephrology Physician
  • Canovanas, PR
National Provider Identifier
1629221940
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
18163 Issued in PR
Practice address
B1 Calle 1 Altos Farmacia Medina #2
Villas de Loiza
Canovanas, PR 00729-4116
Phone
(787) 886-3254
Fax
(787) 957-1555
NPI assigned
Oct 30, 2008
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 18163 PR Primary

Addresses

Primary practice location

B1 Calle 1 Altos Farmacia Medina #2
Villas de Loiza
Canovanas, PR 00729-4116

Mailing address

A8 Via Horizonte
Urb la Vista
San Juan, PR 00924-4461
Phone (787) 886-3254

Other identifiers 1

IdentifierTypeStateIssuer
HP096AOtherPRMEDICARE PTAN

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
I20131024001218 PR Practitioner - NephrologyPractitioner - Internal Medicine 5698900835 Reassigns benefits to 2 organizations
Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Roberto Sanchez Vilella
A6 Castellana Gardens
Carolina, PR 00984-3762
Phone (787) 504-4936

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JD Renal Nephrology CurrentSince Nov 24, 2025 Accepting new patients
KJ Renal LLC CurrentSince Dec 14, 2025 Accepting new patients
Pro-Health Clinical Services LLC CurrentSince Oct 6, 2019 Accepting new patients
Montalvo Nephrology Institute PSC Past Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1629221940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A8 VIA HORIZONTE",
            "address_2": "URB LA VISTA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244461",
            "telephone_number": "787-886-3254",
            "fax_number": "787-957-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B1 CALLE 1 ALTOS FARMACIA MEDINA #2",
            "address_2": "VILLAS DE LOIZA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007294116",
            "telephone_number": "787-886-3254",
            "fax_number": "787-957-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-ROSARIO",
        "first_name": "JOSE",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-30",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "18163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HP096A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

Verify at the official NPI Registry.