Active NPI
Anabelle Ortiz-Rivera, M.D.
- Gynecology Physician
- Ponce, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 12983
- Practice address
- 909 Ave Tito Castro
Torre Medica San Lucas - Suite 804
Ponce, PR 00716-4728 - Phone
- (787) 913-0005
- Fax
- (787) 913-0003
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 12983 | PR | Primary |
Addresses
Primary practice location
909 Ave Tito Castro
Torre Medica San Lucas - Suite 804
Ponce, PR 00716-4728
Mailing address
HC 1 Box 5846
Orocovis, PR 00720-9255
Phone (787) 913-0005
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140503000063 | PR | Practitioner - Obstetrics/Gynecology | 8527291202 | Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12983 | PR | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Memorial Hospital Inc | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospital Episcopal San Lucas II | Hospital | Corporate Director | Jan 1, 2024 |
| Centro de Salud Conductal San Lucas | Hospital | Corporate Director | Jan 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1841295557
Corporate Director
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1841295557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1891736377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 5846",
"city": "OROCOVIS",
"state": "PR",
"postal_code": "007209255",
"telephone_number": "787-913-0005",
"fax_number": "787-913-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 AVE TITO CASTRO",
"address_2": "TORRE MEDICA SAN LUCAS - SUITE 804",
"city": "PONCE",
"state": "PR",
"postal_code": "007164728",
"telephone_number": "787-913-0005",
"fax_number": "787-913-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ-RIVERA",
"first_name": "ANABELLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "PR",
"license": "12983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.