Alberto Romulo Ortiz Corrada, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23993 Issued in PR

Practice address

Valle Real Marquesa 1715
Ponce, PR 00716-0071

Phone

(787) 455-1353

NPI assigned

Jan 31, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Practice roles

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 Pediatrico Universitario

  • Children's Hospital
  • Rio Piedras, PR
  • NPI 1790087492
  NPD (past)

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1760188973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VALLE REAL MARQUESA 1715",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-455-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VALLE REAL MARQUESA 1715",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160071",
            "telephone_number": "787-455-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ CORRADA",
        "first_name": "ALBERTO",
        "middle_name": "ROMULO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PR",
            "license": "23993",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000278",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthoz Corporation
• Maritza Ortiz Acosta, M.D.
• Jonathan Ortiz Agundez, MD
• Nelson Joel Ortiz Castillo
• Maricelys Ortiz Castro
• Paola Nycole Ortiz Cotto
• Indira Ortiz Gandia
• Luis Antonio Ortiz Heredia
• Ivan Jose Ortiz Laboy, MEDICINE STUDENT
• Elmer Luis Ortiz Marquez

• General Practice Physician in Ponce, PR
• Providers in Ponce, 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 20, 2024; 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.