Individual provider Active NPI

Gerardo L. Ortiz, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1902908221
Registry record updated Aug 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
15163 Issued in PR
Practice address
1789 Carr 21 Ste 405
Torre del Metropolitano
San Juan, PR 00921-3340
Phone
(787) 775-2685
Fax
(787) 277-0362
NPI assigned
Sep 5, 2006
Last updated
Aug 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 15163 PR Primary

Addresses

Primary practice location

1789 Carr 21 Ste 405
Torre del Metropolitano
San Juan, PR 00921-3340

Mailing address

29 Calle Niza
Paseo la Brisas
San Juan, PR 00926-5946
Phone (787) 638-8415

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000967 PR Practitioner - Physical Medicine and Rehabilitation 8729064985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ponce School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1789 Carr
21 Suite 405
San Juan, PR 00921-3340
Phone (787) 775-2685

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15163PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gerardo Ortiz Lozano-Fisiatra P.S.C. Physical Medicine & Rehabilitation CurrentSince Jun 9, 2004 Accepting new patients
Instituto Metropolitano de Medicina Fisica Physical Medicine & Rehabilitation PastSince Aug 9, 2018 Accepting new patients

Locations

1789 Carr 21
Ste 405
San Juan, PR 00921
Phone (787) 775-2685

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377302400000",
    "number": "1902908221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CALLE NIZA",
            "address_2": "PASEO LA BRISAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265946",
            "telephone_number": "787-638-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 CARR 21 STE 405",
            "address_2": "TORRE DEL METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213340",
            "telephone_number": "787-775-2685",
            "fax_number": "787-277-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "GERARDO",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2013-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "15163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.