Individual provider Active NPI

Rafael Ortiz Pietri, MD

  • Internal Medicine Physician
  • Carolina, PR
National Provider Identifier
1801887617
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
005526 Issued in PR
Practice address
Car 857 KM 0.4 Barrio Canovanillas
Policlinica Dr. Salvadore Ribot Ruiz Inc.,
Carolina, PR 00986-0800
Phone
(787) 776-3840
Fax
(787) 761-0613
NPI assigned
Nov 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 005526 PR Primary
Internal Medicine Physician 207R00000X 5526 PR

Addresses

Primary practice location

Car 857 KM 0.4 Barrio Canovanillas
Policlinica Dr. Salvadore Ribot Ruiz Inc.,
Carolina, PR 00986-0800

Mailing address

PO Box 800
Carolina, PR 00986-0800
Phone (787) 776-3840

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
I20120913000351 PR Practitioner - Internal Medicine 4587812714 Reassigns benefits to 1 organization
Practice locations: Carolina, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005526PRMDInternal Medicine Physician
5526PRMDInternal Medicine Physician

Organizations & group practices 1

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": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1801887617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860800",
            "telephone_number": "787-776-3840",
            "fax_number": "787-761-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAR 857 KM 0.4 BARRIO CANOVANILLAS",
            "address_2": "POLICLINICA DR. SALVADORE RIBOT RUIZ INC.,",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860800",
            "telephone_number": "787-776-3840",
            "fax_number": "787-761-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ PIETRI",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "005526",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "5526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.