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MONICA ALEXANDRA ORTIZ-RIVERA MD
NPI 1063962058
Internal Medicine - Endocrinology, Diabetes & Metabolism in San Juan, PR

Active since October 13, 2016PECOS EnrolledAccepts Medicare Assignment
1492 AVE PONCE DE LEON STE 502, SAN JUAN, PR 00907(787) 723-5017(787) 723-5015 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2023, Jul 19, 2023, Dec 16, 2021 and 4 more (7 updates tracked since 2016).

About Monica Alexandra Ortiz-rivera Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONICA ALEXANDRA ORTIZ-RIVERA MD (NPI 1063962058) is an individual endocrinology, diabetes & metabolism provider in San Juan, Puerto Rico, licensed in Puerto Rico (21953) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Community Hosp, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063962058
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMONICA ALEXANDRA ORTIZ-RIVERACredential: MD
Location Address1492 AVE PONCE DE LEON STE 502San Juan, PR 00907-4024
Mailing AddressPo Box 11577, Fernandez Juncos StationSan Juan, PR 00910 · (787) 723-5017 · Fax (787) 723-5015
Phone(787) 723-5017
Fax(787) 723-5015
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 13, 2016
Last NPPES UpdateJuly 24, 20237 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1063962058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PR · 21953
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 21953 (PR)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Monica Alexandra Ortiz-rivera Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517311608
PECOS Enrollment IDI20230922002547
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Community Hosp

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400001
Location1451 Ashford AvenueSan Juan, PR 00907 · San Juan County
Emergency services

Hospital Pavia Santurce

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400019
LocationStreet Profesor Augusto Rodriguez #1462San Juan, PR 00910 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00907 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOR ENDOCRINE CARE LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1492 AVE PONCE DE LEON STE 502
SAN JUAN, PR 00907
San Juan Municipio (787) 723-5017
MER NEPHROLOGY AND HYPERTENSION CLINIC LLC
Internal Medicine (Nephrology)
1492 AVE PONCE DE LEON STE 502
SAN JUAN, PR 00907
San Juan Municipio (787) 723-5017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monica Ortiz-rivera's NPI number?

The NPI number for Monica Ortiz-rivera is 1063962058. It was assigned to this individual provider in the NPPES registry on October 13, 2016.

Where is Monica Ortiz-rivera located?

Monica Ortiz-rivera practices at 1492 Ave Ponce De Leon Ste 502, San Juan, PR 00907. The listed phone number is (787) 723-5017.

What is Monica Ortiz-rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Monica Ortiz-rivera enrolled in Medicare?

Yes. Monica Ortiz-rivera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Monica Ortiz-rivera affiliated with any hospitals?

According to CMS data, Monica Ortiz-rivera is affiliated with Presbyterian Community Hosp and Hospital Pavia Santurce.

When was this NPI record last updated?

The NPPES record for Monica Ortiz-rivera was last updated on July 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.