Organization Active NPI

Dra Vilma Ortega Vidaurre Gynecologist and Obstetrician, PSC

  • Medical Specialty Clinic/Center
  • San Juan, PR
National Provider Identifier
1891051819
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
12220 Issued in PR
Legal business name
DRA VILMA ORTEGA VIDAURRE GYNECOLOGIST AND OBSTETRICIAN, PSC
Practice address
239 Ave Arterial Hostos
Capital Center BLDG. Suite 601
San Juan, PR 00918-1474
Phone
(787) 754-8333
NPI assigned
Apr 3, 2012
Last updated
May 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Dr. Vilma Ortega-Vidaurre, MD
Title
President
Phone
(787) 754-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 12220 PR Primary

Addresses

Primary practice location

239 Ave Arterial Hostos
Capital Center BLDG. Suite 601
San Juan, PR 00918-1474

Mailing address

239 Ave Arterial Hostos
Capital Center BLDG. Suite 601
San Juan, PR 00918-1474
Phone (787) 754-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140219000534 PR Part B Supplier - Clinic/Group Practice 2466681325 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

239 Ave Arterial Hostos
Ste 601
San Juan, PR 00918
Phone (787) 754-8333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1891051819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "CAPITAL CENTER BLDG. SUITE 601",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181474",
            "telephone_number": "787-754-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "CAPITAL CENTER BLDG. SUITE 601",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181474",
            "telephone_number": "787-754-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA VILMA ORTEGA VIDAURRE GYNECOLOGIST AND OBSTETRICIAN, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "ORTEGA-VIDAURRE",
        "authorized_official_first_name": "VILMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-754-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "12220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.