Rafael Jose Ortiz Bouyett, M.D.
Individual provider Active NPI General Practice Physician · Bayamon, PR
NPI 1649705245 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1649705245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 21014 (PR)
- Practice address
- Multimed Clinic PR
Edif. Medico Santa Cruz #73 Suite 408
Bayamon, PR 00961-6910 - Phone
- (787) 780-8444
- NPI assigned
- Apr 21, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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 |
|---|---|---|---|---|
| I20190516002952 | PR | Practitioner - General Practice | 0648513580 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21014 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrate Community Health System | Current |
Accepting new patients | |
| Integrate Community Health System, Inc. | Current |
Accepting new patients | |
| Care Clinic LLC | General Practice | Current |
Accepting new patients |
| Integrate Community Health System | Current | Accepting new patients |
Locations
73 Calle Santa Cruz
Ste 408
Bayamon, PR 00961
Phone (787) 740-3350
426 Calle Agueybana
San Juan, PR 00918
Phone (787) 238-5801
267 Calle Sierra Morena
San Juan, PR 00926
Phone (787) 616-8557
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 21014 | PR | Yes |
Addresses
Primary practice location
Multimed Clinic PR
Edif. Medico Santa Cruz #73 Suite 408
Bayamon, PR 00961-6910
Mailing address
Villas del Pilar B7 Calle 1
San Juan, PR 00926-5447
Phone (787) 923-7559
Other providers in Bayamon, PR
- Maximino Rafael Ortega
- Orthopaedics and Arthroscopic Institute
- Victor N. Ortiz - Justiniano
- Ileana Ortiz Acosta
- Carmen M Ortiz Aponte
- Lizbeth M Ortiz Burgos
- Kelvin Roberto Ortiz Gutierrez
- Kiara Estefania Ortiz Irizarry
- Frances M Ortiz Lopez
- Laura Ivette Ortiz Martinez
All providers in Bayamon, 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 Apr 16, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.