Individual provider Active NPI

Santiago Rivera Ortega, MD

  • General Practice Physician
  • Isabela, PR
National Provider Identifier
1730151879
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13992 Issued in PR
Practice address
Carr 113 KM 1.2 Bo. Guayabo
Isabela, PR 00662
Phone
(787) 830-1654
Fax
(787) 830-1654
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13992 PR Primary

Addresses

Primary practice location

Carr 113 KM 1.2 Bo. Guayabo
Isabela, PR 00662

Mailing address

3623 Ave Militar
PMB 492
Isabela, PR 00662
Phone (787) 830-1654

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
I20040924000529 PR Practitioner - General Practice 3274501457 Reassigns benefits to 1 organization
Practice locations: Isabela, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Militar
3623 PMB 492
Isabela, PR 00662

Carr 113 KM
2 Bo Guayabo
Isabela, PR 00662
Phone (787) 830-1654

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13992PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West PCP General Practice CurrentSince Apr 29, 2020 Accepting new patients
Aguadilla Medical Services, Inc Past Accepting new patients
Serv Emerg del Noroeste Past Accepting new patients
Terapia Con Amor LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1730151879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 AVE MILITAR",
            "address_2": "PMB 492",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-830-1654",
            "fax_number": "787-830-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 113 KM 1.2 BO. GUAYABO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-830-1654",
            "fax_number": "787-830-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ORTEGA",
        "first_name": "SANTIAGO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.