Active NPI
Maria De Lourdes Ortiz, MD
- Ophthalmology Physician
- Caguas, PR
National Provider Identifier
1760466817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 13806
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1864 | Other | PR | PREFERRED MEDICARE CHOICE |
| 061783 | Other | PR | CRUZ AZUL |
| 1802431 | Other | PR | ACAA |
| 4301-5 5034 | Other | PR | PROSAMM |
| 9910 | Other | PR | INTERNATIONAL MEDICAL |
| 1260 | Other | PR | AMERICAN HEALTH |
| 213042 | Other | PR | PREFERRED HEALTH |
| 12513806 | Other | PR | GLOBAL HEALTH |
| 20681 | Other | PR | TRIPLE S |
| 7920023 | Other | PR | HUMANA HEALTH |
| 7920023 | Other | PR | HUMANA INSURANCE |
| 600666 | Other | PR | MEDICARE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 236 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13806 | PR | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Obstetrics & Gynecology Physician
- Caguas, PR
- NPI 1942656129
-
- Gynecology Physician
- Caguas, PR
- NPI 1578010187
-
- Ophthalmology Physician
- Caguas, PR
- NPI 1700295318
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.