Individual provider Active NPI

Jonathan Ortiz Agundez, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1730828336
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22732 Issued in PR
Practice address
8131 Calle Concordia
Ste 101
Ponce, PR 00717-1535
Phone
(787) 842-5315
Fax
(787) 813-2626
NPI assigned
Jun 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 22732 PR Primary

Addresses

Primary practice location

8131 Calle Concordia
Ste 101
Ponce, PR 00717-1535

Mailing address

160 Calle Tarragona
Aguadilla, PR 00603-5523
Phone (939) 209-1369

Other practice location 1

160 Calle Tarragona
Aguadilla, PR 00603-5523
Phone (939) 209-1369

Other names 1

  • Dr. Jonathan Ortiz Agundez Professional name

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
I20240506000156 PR Practitioner - General Practice 3971955360 Reassigns benefits to 2 organizations
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Providers LLCGroup PAC ID 9436436706, 18 clinicians
RJBV Internal Medicine PSCGroup PAC ID 9032245295, 4 clinicians

Practice addresses (Care Compare)

2435 Blvd Luis a Ferre
Ponce, PR 00717-2112
Phone (787) 436-0727

8131 Calle Concordia
Suite 101
Ponce, PR 00717-1543
Phone (787) 842-5315

Hospital & facility affiliations

  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RJBV Internal Medicine, PSC CurrentSince Aug 24, 2024 Accepting new patients

Locations

8131 Calle Concordia
Ste 101
Ponce, PR 00717
Phone (787) 842-5315

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1730828336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CALLE TARRAGONA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035523",
            "telephone_number": "939-209-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 CALLE CONCORDIA",
            "address_2": "STE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171535",
            "telephone_number": "787-842-5315",
            "fax_number": "787-813-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Calle Tarragona",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "006035523",
            "country_code": "US",
            "telephone_number": "939-209-1369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ AGUNDEZ",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "ORTIZ AGUNDEZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.