Individual provider Active NPI

Omar O Ortega, R.T.

  • Radiologic Technologist
  • Ciales, PR
National Provider Identifier
1710120217
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
2194 Issued in PR
Practice address
3 Calle Betances
Edificio Rossy
Ciales, PR 00638-3200
Phone
(787) 871-0446
NPI assigned
Apr 13, 2009
Last updated
Apr 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2194PRMDRadiologic Technologist
#87PRMDRadiation Therapy Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.