Active NPI
Moises Ortiz-Villalobos, MD
- Nephrology Physician
- Caguas, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 10714
- Practice address
- Ave.Luis Munoz Marin, Mariolga
Hospital Hima Oficina 106
Caguas, PR 00726 - Phone
- (787) 746-7441
- Fax
- (787) 746-3190
- NPI assigned
- Oct 11, 2005
- Last updated
- Mar 5, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 10714 | PR | Primary |
Addresses
Primary practice location
Ave.Luis Munoz Marin, Mariolga
Hospital Hima Oficina 106
Caguas, PR 00726
Mailing address
PO Box 6628
Caguas, PR 00726-6628
Phone (787) 746-7441
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7250125 | Other | PR | HUMANA HEALTH PLANS |
| 83602 | Other | PR | TRIPLE S |
| 3632 | Other | PR | FIRST PLUS |
| 4095 | Other | PR | PREFERRED MEDICARE CHOICE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Puerto Rico School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Consolidated Mall
Suite 307 Calle Gautier Benitez
Caguas, PR 00726
Phone (787) 746-7441
PO Box
Caguas, PR 00726
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grupo Renal del Este PSC. | Nephrology | Current | Accepting new patients |
| Jose M Ayala and Rafael Baquero PTR | Nephrology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Caguas, PR
- NPI 1598978835
-
- Nephrology Physician
- Caguas, PR
- NPI 1265546535
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bma Humacao
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Humacao, PR
- NPI 1104925114
Dialysis facility
-
dba Fresenius Medical Care Las Piedras
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Las Piedras, PR
- NPI 1639562549
Dialysis facility
-
- General Acute Care Hospital
- Caguas, PR
- NPI 1003185455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1841288172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6628",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007266628",
"telephone_number": "787-746-7441",
"fax_number": "787-746-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE.LUIS MUNOZ MARIN, MARIOLGA",
"address_2": "HOSPITAL HIMA OFICINA 106",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-746-7441",
"fax_number": "787-746-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ-VILLALOBOS",
"first_name": "MOISES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PR",
"license": "10714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH PLANS",
"identifier": "7250125",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "83602",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PLUS",
"identifier": "3632",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICARE CHOICE",
"identifier": "4095",
"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 Mar 5, 2008; 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.