Manuel Jose Ortiz Bustillo, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21657 Issued in PR

Practice address

Urb Mansines de Ciudad Jardin
432 Calle Tarragona
Caguas, PR 00727

Phone

(787) 618-7696

NPI assigned

Feb 7, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001
• Hospital San Francisco Hospital, San Juan, PR, CCN 400098
• Hospital Episcopal San Lucas Metro Hospital, San Juan, PR, CCN 400139

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Punto Salud Medical Services, LLC.

  • General Practice Physician
  • Yabucoa, PR
  • NPI 1518550508

  General Practice, PR

  Medicare reassignment NPD Authorized official

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

• Presbyterian Community Hospital, Inc

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1770580813

  Hospital

  Care Compare affiliation
• San Francisco Health System Inc

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1598798811

  Hospital

  Care Compare affiliation
• San Francisco Health System Inc.

  • Emergency Care Clinic/Center
  • San Juan, PR
  • NPI 1700144912

  Hospital

  Care Compare affiliation
• San Lucas Metro, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1841919974

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1669004677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB MANSINES DE CIUDAD JARDIN",
            "address_2": "432 CALLE TARRAGONA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-618-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB MANSINES DE CIUDAD JARDIN",
            "address_2": "432 CALLE TARRAGONA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-618-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ BUSTILLO",
        "first_name": "MANUEL",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ortholink, L.L.C.
• Orthomec Corp
• Orthoone Corporation
• Orthority Corporation
• Jorge Ivan Ortiz Alvarez
• Luis A. Ortiz Capaldo, MSW
• Ruben Gabriel Ortiz Cordero
• Marines Ortiz Cotto, MWS
• Rose Stephanie Ortiz Davila, MA, LCDA.
• Karina Ortiz del Valle

• All providers in Caguas, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.