Individual provider Active NPI

Moises Ortiz-Villalobos, MD

  • Nephrology Physician
  • Caguas, PR
National Provider Identifier
1841288172
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
10714 Issued in PR
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7250125OtherPRHUMANA HEALTH PLANS
83602OtherPRTRIPLE S
3632OtherPRFIRST PLUS
4095OtherPRPREFERRED 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130403000415 PR Practitioner - NephrologyPractitioner - Internal Medicine 8426206186 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grupo Renal del Este, PSCGroup PAC ID 3274775333, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Grupo Renal del Este PSC. Nephrology CurrentSince Jun 26, 2013 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.