Individual provider Active NPI

Yiselle Lopez Ortiz, M.D.

  • General Practice Physician
  • Juana Diaz, PR
National Provider Identifier
1902918162
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16207 Issued in PR
Practice address
40 Calle Costa Real
Urb Camino Real
Juana Diaz, PR 00795-9304
Phone
(787) 837-2513
NPI assigned
Aug 31, 2006
Last updated
Nov 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16207 PR Primary

Addresses

Primary practice location

40 Calle Costa Real
Urb Camino Real
Juana Diaz, PR 00795-9304

Mailing address

40 Calle Costa Real
Urb Camino Real
Juana Diaz, PR 00795-9304
Phone (787) 837-2513

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
I20070531000332 PR Practitioner - General Practice 7416055363 Practice locations: Villalba, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 149 KM 57
Edificio Farmacia Grafed Suite 1
Villalba, PR 00766

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16207PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico Central Coto Laurel, Inc Past Accepting new patients

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, 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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1902918162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CALLE COSTA REAL",
            "address_2": "URB CAMINO REAL",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959304",
            "telephone_number": "787-837-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CALLE COSTA REAL",
            "address_2": "URB CAMINO REAL",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959304",
            "telephone_number": "787-837-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ ORTIZ",
        "first_name": "YISELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.