DR. EDGARDO ORTIZ RIVERA
NPI 1124279112
General Practice in Sabana Grande, PR

Active since October 08, 2008PECOS EnrolledAccepts Medicare Assignment
35 CALLE ANGEL G MARTINEZ, SABANA GRANDE, PR 00637(787) 955-6784 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edgardo Ortiz Rivera NPPES

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

DR. EDGARDO ORTIZ RIVERA (NPI 1124279112) is an individual general practice provider in Sabana Grande, Puerto Rico, licensed in Puerto Rico (17340) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1124279112
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. EDGARDO ORTIZ RIVERA
Location Address35 CALLE ANGEL G MARTINEZSabana Grande, PR 00637-1818
Mailing AddressBo. Susua Calle Ceiba # 113Sabana Grande, PR 00637-0000 · (787) 955-6784
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 8, 2008
Last NPPES UpdateNovember 3, 2009
NPI 1124279112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PR · 17340
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
35 CALLE ANGEL G MARTINEZ, Sabana Grande, PR 00637

Other Identifiers 1

Medicaid17340PR

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

Dr. Edgardo Ortiz Rivera 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 ID7416098561
PECOS Enrollment IDI20100112000018
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.

Other Providers at the Same Location NPPES

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

General Practice
35 CALLE ANGEL G MARTINEZ
SABANA GRANDE, PR 00637

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 Edgardo Ortiz Rivera's NPI number?

The NPI number for Edgardo Ortiz Rivera is 1124279112. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Where is Edgardo Ortiz Rivera located?

Edgardo Ortiz Rivera practices at 35 Calle Angel G Martinez, Sabana Grande, PR 00637. The listed phone number is (787) 955-6784.

What is Edgardo Ortiz Rivera's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Edgardo Ortiz Rivera enrolled in Medicare?

Yes. Edgardo 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.

When was this NPI record last updated?

The NPPES record for Edgardo Ortiz Rivera was last updated on November 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.