Individual provider Active NPI

Ismari Ortiz-Viana, PA

  • Physician Assistant
  • Bayamon, PR
National Provider Identifier
1881400943
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2405-PA Issued in PR
Practice address
PO Box 2384
Bayamon, PR 00960-2384
Phone
(787) 404-1061
NPI assigned
Dec 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2405-PA PR Primary

Addresses

Primary practice location

PO Box 2384
Bayamon, PR 00960-2384

Mailing address

PO Box 2384
Bayamon, PR 00960-2384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2405-PAPRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe Current Accepting new patients
Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1881400943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2384",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009602384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 2384",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009602384",
            "telephone_number": "787-404-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-VIANA",
        "first_name": "ISMARI",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2405-PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.