Individual provider Active NPI

Eric E Ortiz - Llavona, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Aguadilla, PR
National Provider Identifier
1992889802
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
8498 Issued in PR
Practice address
Edificio Loraine
Carr #2 KM 123 Bo Corrales
Aguadilla, PR 00603
Phone
(787) 882-4287
Fax
(787) 891-3451
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 8498 PR Primary

Addresses

Primary practice location

Edificio Loraine
Carr #2 KM 123 Bo Corrales
Aguadilla, PR 00603

Mailing address

PO Box 5255
Aguadilla, PR 00605-5255
Phone (787) 882-4287

Other identifiers 1

IdentifierTypeStateIssuer
FL224AOtherPRMEDICARE PTAN

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
I20111007000601 PR Practitioner - Interventional Pain Management 5991977241 Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 107 KM
Aguadilla, PR 00603
Phone (787) 882-4287

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8498PRMDPain Medicine (Anesthesiology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1992889802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5255",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006055255",
            "telephone_number": "787-882-4287",
            "fax_number": "787-891-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO LORAINE",
            "address_2": "CARR #2 KM 123 BO CORRALES",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-882-4287",
            "fax_number": "787-891-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ - LLAVONA",
        "first_name": "ERIC",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PR",
            "license": "8498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FL224A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.