Pedro Ortiz-Lara, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11257 Issued in PR

Practice address

3 Calle Segundo Diaz
Salinas, PR 00751-3329

Phone

(787) 824-7058

NPI assigned

Jan 19, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750434106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007510399",
            "telephone_number": "787-824-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALLE SEGUNDO DIAZ",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007513329",
            "telephone_number": "787-824-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-LARA",
        "first_name": "PEDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oficina Psicologa Norma I Velazquez, Inc.
• Optica Sur LLC
• Janette Ortiz Rivera, MD
• Juan D. Ortiz Rivera, M.D.
• Noelia Ortiz-Aponte, DC
• Sheila Marie Ortolaza Ramos
• Oscar J Rodriguez, LLC
• Ivan Pabon, PHARM D.
• Lizzette C Pabon, MD
• Shirley Pagan, M.D.

• General Practice Physician in Salinas, PR
• Providers in Salinas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.