Individual provider Active NPI

Omar Nieves Ortiz, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • San Juan, PR
National Provider Identifier
1659456168
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
16079 Issued in PR
Practice address
Centro Cardiovascular de Puerto Rico Y del Caribe
Ave Americo Miranda Centro Medico Suite 8B
San Juan, PR 00936
Phone
(787) 771-3030
Fax
(888) 378-0294
NPI assigned
Oct 25, 2006
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16079 PR
Cardiovascular Disease Physician 207RC0000X 16079 PR
Clinical Cardiac Electrophysiology Physician 207RC0001X 16079 PR Primary

Addresses

Primary practice location

Centro Cardiovascular de Puerto Rico Y del Caribe
Ave Americo Miranda Centro Medico Suite 8B
San Juan, PR 00936

Mailing address

Urb. Los Paseos Alto
35 Calle 2
San Juan, PR 00926-5917
Phone (787) 378-4718

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
I20101215001003 PR Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7012105109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Puerto Rico School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Americo Miranda
Centro Medico Suite 8B
San Juan, PR 00936-6528
Phone (787) 771-3030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Rhythm Consultants, PSC Cardiovascular Disease CurrentSince Oct 1, 2010 Accepting new patients

Organizations & group practices 1

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 1

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1659456168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LOS PASEOS ALTO",
            "address_2": "35 CALLE 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265917",
            "telephone_number": "787-378-4718",
            "fax_number": "888-378-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO CARDIOVASCULAR DE PUERTO RICO Y DEL CARIBE",
            "address_2": "AVE AMERICO MIRANDA CENTRO MEDICO SUITE 8B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-771-3030",
            "fax_number": "888-378-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES ORTIZ",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16079",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "16079",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PR",
            "license": "16079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.