Raul Damaso Ortiz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1864 Issued in PR

Practice address

43 Calle Baldorioty
Suite # 3
Coamo, PR 00769-3120

Phone

(787) 825-0222

Fax

(787) 803-0046

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rdo Digitec LLC

  • General Practice Dentistry
  • Coamo, PR
  • NPI 1841921954
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1851402218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CALLE BALDORIOTY",
            "address_2": "SUITE # 3",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693120",
            "telephone_number": "787-825-0222",
            "fax_number": "787-803-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CALLE BALDORIOTY",
            "address_2": "SUITE # 3",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693120",
            "telephone_number": "787-825-0222",
            "fax_number": "787-803-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "RAUL",
        "middle_name": "DAMASO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Marie Ortiz Torres
• Maria Victoria Ortiz Torres
• Kristy Marialis Ortiz, PSY.D
• Manuel Muniz Ortiz
• Raul D Ortiz
• Felix Pagan Sr., MSW
• Pao's Pharmacy, Inc
• Wilfredo Raphael Paoli Lopez, M.D.
• Karla E Pizarro, OTL
• Policlinica General de Coamo

• General Practice Dentistry in Coamo, PR
• Providers in Coamo, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.