Individual provider Active NPI

Wandalisa Ortiz, MD

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1790466381
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24774 Issued in PR
Practice address
Urb. Turabo Gardens 3Ra Secc.
Calle a R-1525
Caguas, PR 00727-5925
Phone
(787) 378-2735
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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 24774 PR Primary

Addresses

Primary practice location

Urb. Turabo Gardens 3Ra Secc.
Calle a R-1525
Caguas, PR 00727-5925

Mailing address

Urb. Turabo Gardens 3Ra Secc.
Calle a R-1525
Caguas, PR 00727-5925
Phone (787) 378-2735

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
I20260212004533 PR Practitioner - General Practice 1153801832 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Caguas, PR 00727
Phone (787) 378-2735

-25 Calle a
Caguas, PR 00727

37 Ave Los Robles
Aguadilla, PR 00603

Urb Turabo Gardens 3Ra Secc
Calle a R 1525
Caguas, PR 00727-5929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24774PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1790466381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. TURABO GARDENS 3RA SECC.",
            "address_2": "CALLE A R-1525",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007275925",
            "telephone_number": "787-378-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. TURABO GARDENS 3RA SECC.",
            "address_2": "CALLE A R-1525",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007275925",
            "telephone_number": "787-378-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "WANDALISA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.