Active NPI
Omar O Ortega, R.T.
- Radiologic Technologist
- Ciales, PR
National Provider Identifier
1710120217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 2194
- Practice address
- 3 Calle Betances
Edificio Rossy
Ciales, PR 00638-3200 - Phone
- (787) 871-0446
- NPI assigned
- Apr 13, 2009
- Last updated
- Apr 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 2194 | PR | Primary |
| Radiation Therapy Radiologic Technologist | 2471R0002X | #87 | PR |
Addresses
Primary practice location
3 Calle Betances
Edificio Rossy
Ciales, PR 00638-3200
Mailing address
PO Box 275
Ciales, PR 00638-0275
Phone (787) 438-5824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2194 | PR | MD | Radiologic Technologist |
| #87 | PR | MD | Radiation Therapy Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Salvador Mercado Mercado CSP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Radiologic Technologist
- San Juan, PR
- NPI 1174766679
-
- Diagnostic Radiology Physician
- Ciales, PR
- NPI 1376850024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239580800000",
"number": "1710120217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 275",
"city": "CIALES",
"state": "PR",
"postal_code": "006380275",
"telephone_number": "787-438-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CALLE BETANCES",
"address_2": "EDIFICIO ROSSY",
"city": "CIALES",
"state": "PR",
"postal_code": "006383200",
"telephone_number": "787-871-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "OMAR",
"middle_name": "O",
"credential": "R.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-13",
"last_updated": "2009-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "PR",
"license": "2194",
"primary": true
},
{
"code": "2471R0002X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiation Therapy",
"state": "PR",
"license": "#87",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ciales, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.