LOURMARITH ORTIZ CARRASQUILLO MD
NPI 1366133712
General Practice in San Juan, PR
About Lourmarith Ortiz Carrasquillo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOURMARITH ORTIZ CARRASQUILLO MD (NPI 1366133712) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (23951) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lourmarith Ortiz Carrasquillo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lourmarith Ortiz Carrasquillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bayamon, PR 00960
- Reassigned Medicare billing, Puerto Rico enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JUAN, PR 00917
SAN JUAN, PR 00917
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 Lourmarith Ortiz Carrasquillo's NPI number?
The NPI number for Lourmarith Ortiz Carrasquillo is 1366133712. It was assigned to this individual provider in the NPPES registry on May 17, 2023.
Where is Lourmarith Ortiz Carrasquillo located?
Lourmarith Ortiz Carrasquillo practices at 715 Ave Ponce De Leon, San Juan, PR 00917. The listed phone number is (787) 758-2000.
What is Lourmarith Ortiz Carrasquillo's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Lourmarith Ortiz Carrasquillo enrolled in Medicare?
Yes. Lourmarith Ortiz Carrasquillo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lourmarith Ortiz Carrasquillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lourmarith Ortiz Carrasquillo reassigns Medicare benefits to Novavida Health Clinic LLC (Bayamon, PR). The 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 Lourmarith Ortiz Carrasquillo'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 Lourmarith Ortiz Carrasquillo was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lourmarith Ortiz Carrasquillo, MD · NPI 1366133712
General Practice physician in San Juan, Puerto Rico. Individual provider, active in the CMS NPPES registry since May 17, 2023.
## Identity
- **NPI:** 1366133712 (Entity type: Individual)
- **Enumerated:** May 17, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 23951 (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 715 AVE PONCE DE LEON, San Juan, PR 00917-5032
- **Phone:** (787) 758-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Novavida Health Clinic LLC (NPI 1063336972, Bayamon, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366133712) · Data from the CMS NPPES public registry.