Individual provider Active NPI

Noel A. Ortiz, M.D.

  • Cardiovascular Disease Physician
  • Bayamon, PR
National Provider Identifier
1720019169
Registry record updated Feb 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4366 Issued in PR
Practice address
Calle I # 48
Ext. Hermanas Davila
Bayamon, PR 00960
Phone
(787) 763-5189
Fax
(787) 763-5189
NPI assigned
Jul 5, 2006
Last updated
Feb 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4366 PR Primary

Addresses

Primary practice location

Calle I # 48
Ext. Hermanas Davila
Bayamon, PR 00960

Mailing address

M11 Calle Rosa
Parques de Santa Maria, Rio Piedras
San Juan, PR 00927-6736
Phone (787) 763-5189

Other identifiers 1

IdentifierTypeStateIssuer
002619AOtherPRMEDICARE GROUP PROVIDER #

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
I20080227000156 PR Practitioner - Cardiovascular Disease (Cardiology) 1456435650 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Puerto Rico School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1995 Carr 2 Metro Medical Cente
205A
Bayamon, PR 09959
Phone (787) 966-7777

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Cardiologico de Bayamon Cardiovascular Disease PastSince Oct 1, 1984 Accepting new patients
Instituto Cardiovascular de Bayamon LLC 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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201996800000",
    "number": "1720019169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "M11 CALLE ROSA",
            "address_2": "PARQUES DE SANTA MARIA, RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276736",
            "telephone_number": "787-763-5189",
            "fax_number": "787-763-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE I # 48",
            "address_2": "EXT. HERMANAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-763-5189",
            "fax_number": "787-763-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "NOEL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "4366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER #",
            "identifier": "002619A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.