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DR. HIRAM ORTEGA M.D.
NPI 1336125368
Family Medicine in Aguada, PR

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
HC 3 BOX 39603, HC03 BOX 39603, AGUADA, PR 00602(787) 868-0345 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Hiram Ortega M.d. NPPES

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

DR. HIRAM ORTEGA M.D. (NPI 1336125368) is an individual family medicine provider in Aguada, Puerto Rico, licensed in Puerto Rico (14432) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1336125368
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HIRAM ORTEGACredential: M.D.
Location AddressHC 3 BOX 39603, HC03 BOX 39603Aguada, PR 00602-9794
Mailing AddressHc 3 Box 39603, Hc03 Box 39603Aguada, PR 00602-9794 · (787) 868-0345
Phone(787) 868-0345
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 21, 2005
Last NPPES UpdateOctober 24, 2012
✔ NPI 1336125368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PR · 14432
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other Identifiers 2

Medicare ID-Type Unspecified21282
Medicare UPINH79749PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hiram Ortega M.d. 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 ID7618039413
PECOS Enrollment IDI20090102000045
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Hiram Ortega reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aguada Medical Center, Inc.
Clinical Medical Laboratory
CARRETERA 115, KILOMETRO 24.5 BARRIO ASOMANTE
Aguada, PR 00602
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 25 clinicians in this Medicare group
NPI 1023300803 (787) 868-0345
Prime Medica Psc
Primary Care
HC 3 BOX 39603
Aguada, PR 00602
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 2 clinicians in this Medicare group
NPI 1215340567 (787) 868-0345

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
99 services15 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.
49 services30 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
34 services23 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
33 services17 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
26 services11 patients
Injection of drug or substance into vein 96374
This procedure involves introducing a medication or substance directly into your vein using a syringe. It's a quick and efficient way to deliver treatment throughout your body. You might feel a small prick when the needle enters. It's generally safe and effective.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00602 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
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.

DELTAL OPTICAL NETWORK
Technician/Technologist
HC 3 BOX 39603
AGUADA, PR 00602
Aguada Municipio (787) 868-0345
PRIME MEDICA PSC
Clinic/Center (Primary Care)
HC 3 BOX 39603
AGUADA, PR 00602
Aguada Municipio (787) 868-0345

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 Hiram Ortega's NPI number?

The NPI number for Hiram Ortega is 1336125368. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Hiram Ortega located?

Hiram Ortega practices at Hc 3 Box 39603 Hc03 Box 39603, Aguada, PR 00602. The listed phone number is (787) 868-0345.

What is Hiram Ortega's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hiram Ortega enrolled in Medicare?

Yes. Hiram Ortega 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.

Which organizations bill Medicare for Hiram Ortega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hiram Ortega reassigns Medicare benefits to 2 organizations: Aguada Medical Center, Inc. (Aguada, PR) and Prime Medica Psc (Aguada, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hiram Ortega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hiram Ortega was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.