Active NPI
Leonardo Ortiz
- Pediatrics Physician
- Guaynabo, PR
National Provider Identifier
1891771697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9582
- Practice address
- 140 Ave Las Cumbres
Guaynabo, PR 00969-5523 - Phone
- (787) 720-5050
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9582 | PR | |
| Pediatrics Physician | 208000000X | 9582 | PR | Primary |
Addresses
Primary practice location
140 Ave Las Cumbres
Guaynabo, PR 00969-5523
Mailing address
55 Calle Vereda
Urb. Monte Verde Real
San Juan, PR 00924
Phone (787) 600-1321
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9582 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1891771697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CALLE VEREDA",
"address_2": "URB. MONTE VERDE REAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-600-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 AVE LAS CUMBRES",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695523",
"telephone_number": "787-720-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "LEONARDO",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "9582",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "9582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.