Jose Miguel Ortiz, MD
Individual provider Active NPI General Practice Physician · San Juan, PR
NPI 1639323587 · NPPES record last updated Mar 27, 2014
Key facts
- NPI
- 1639323587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 18382 (PR)
- Practice address
- 550 Calle Sergio Cuevas Bustamante
Ave Domenech
San Juan, PR 00918 - Phone
- (787) 758-8383
- NPI assigned
- Nov 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria Inc.
Practice addresses (Care Compare)
Avenida Rafael Cordero Esquina Troche
Caguas, PR 00726
Phone 7877450340260
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 |
|---|---|---|---|---|
| I20130523000336 | PR | Practitioner - General Practice | 5193963650 |
Reassigns benefits to 4 organizations Practice locations: Guaynabo, PR; Rio Grande, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18382 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HPM Foundation Inc | General Practice | Current | Accepting new patients |
| Centro Medico del Turabo Inc | Current |
Accepting new patients | |
| Centro Medico del Turabo Inc | General Practice | Current |
Accepting new patients |
| Departamento de Salud Oficial | Current |
Accepting new patients | |
| Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc | Current |
Accepting new patients | |
| Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc | Current |
Accepting new patients | |
| Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria Inc. | General Practice | Current | Accepting new patients |
| HPM Foundation Inc | Current |
Accepting new patients | |
| Departamento de Salud Oficial | Current |
Accepting new patients | |
| Departamento de Salud Oficial | Current | Accepting new patients |
Locations
100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261
2020 Ave Borinquen
Santurce, PR 00915
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 18382 | PR | Yes |
Addresses
Primary practice location
550 Calle Sergio Cuevas Bustamante
Ave Domenech
San Juan, PR 00918
Mailing address
1430 Ave San Alfonso Apt 1906
San Juan, PR 00921-4663
Phone (787) 342-2583
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18382 | Other | PR | LIC MD |
Other providers in San Juan, PR
- Iris Ortiz
- Jomar Ortiz
- Jose Antonio Ortiz
- Jose E Ortiz
- Jose Ismael Ortiz
- Juan Ortiz
- July V Ortiz
- Leslie Ann Ortiz II
- Luis Enrique Ortiz
- Luz E Ortiz
All providers in San Juan, PR · General Practice 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 Mar 27, 2014. 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.