Individual provider Active NPI

Andres J Ortiz Nieves Sr., MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Ponce, PR
National Provider Identifier
1831449560
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
19096 Issued in PR
Practice address
Calle Mayor 2614 Esquina Jobos
Ponce, PR 00731
Phone
(787) 840-8293
Fax
(787) 848-4997
NPI assigned
Sep 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2019

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 19096 PR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 19096 PR Primary

Addresses

Primary practice location

Calle Mayor 2614 Esquina Jobos
Ponce, PR 00731

Mailing address

PO Box 32126
Ponce, PR 00732
Phone (787) 432-1297

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
I20190729003475 PR Practitioner - Endocrinology 2961738943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Ponce School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Health Clinical Services LLCGroup PAC ID 1759692478, 21 clinicians

Practice addresses (Care Compare)

Edificio 36 Calle Barbosa
Esquina Rosy
Bayamon, PR 00960
Phone (787) 269-6590

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Health Clinical Services LLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2021 Accepting new patients
Dr Luis Raul Ruiz Rivera CSP Endocrinology, Diabetes & Metabolism PastSince Apr 13, 2013 Accepting new patients

Locations

36 Calle Barbosa
Bayamon, PR 00961

J20 Calle 2
Bayamon, PR 00959
Phone (787) 261-5333

Interoperability endpoints

  • Direct secure messaging: andres.ortiznieves@3937.securemail.prognocis.com

Organizations & group practices 2

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": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1831449560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32126",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-432-1297",
            "fax_number": "787-848-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MAYOR 2614 ESQUINA JOBOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-840-8293",
            "fax_number": "787-848-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ NIEVES",
        "first_name": "ANDRES",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-10",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19096",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "19096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.