Individual provider Active NPI

Maria De Lourdes Ortiz, MD

  • Ophthalmology Physician
  • Caguas, PR
National Provider Identifier
1760466817
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13806 Issued in PR
Practice address
500 Avenida Degetau
Hima Plaza 1 Suite 414
Caguas, PR 00725-7307
Phone
(787) 258-0614
Fax
(787) 961-4663
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 13806 PR Primary

Addresses

Primary practice location

500 Avenida Degetau
Hima Plaza 1 Suite 414
Caguas, PR 00725-7307

Mailing address

Hacienda San Jose
86 Via Miradero
Caguas, PR 00727-3007
Phone (787) 745-0806

Other identifiers 12

IdentifierTypeStateIssuer
1864OtherPRPREFERRED MEDICARE CHOICE
061783OtherPRCRUZ AZUL
1802431OtherPRACAA
4301-5 5034OtherPRPROSAMM
9910OtherPRINTERNATIONAL MEDICAL
1260OtherPRAMERICAN HEALTH
213042OtherPRPREFERRED HEALTH
12513806OtherPRGLOBAL HEALTH
20681OtherPRTRIPLE S
7920023OtherPRHUMANA HEALTH
7920023OtherPRHUMANA INSURANCE
600666OtherPRMEDICARE Y MUCHO MAS

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
I20060919000327 PR Practitioner - Ophthalmology 0749285104 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Ave Degetau
Caguas, PR 00725-7301
Phone (787) 258-0614

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13806PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria de Lourdes Ortiz, CSP Ophthalmology Past Accepting new patients
Innovative GYN P.S.C. Past Accepting new patients
Caribbean OBGYN Institute, PSC Past Accepting new patients

Organizations & group practices 3

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1760466817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HACIENDA SAN JOSE",
            "address_2": "86 VIA MIRADERO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273007",
            "telephone_number": "787-745-0806",
            "fax_number": "787-745-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVENIDA DEGETAU",
            "address_2": "HIMA PLAZA 1 SUITE 414",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257307",
            "telephone_number": "787-258-0614",
            "fax_number": "787-961-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MARIA",
        "middle_name": "DE LOURDES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "13806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "1864",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "061783",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "1802431",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSAMM",
            "identifier": "4301-5 5034",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL",
            "identifier": "9910",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "1260",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "213042",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLOBAL HEALTH",
            "identifier": "12513806",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "20681",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH",
            "identifier": "7920023",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "7920023",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "600666",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.