1. Home
  2. Directory
  3. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. EDRIS JUAN ORTIZ MD
NPI 1396734489
General Practice in San Juan, PR

Active since October 20, 2005PECOS Enrolled
CALLE YUNQUE 594 CRB SUMMIT HILLS, SAN JUAN, PR 00920(787) 783-1219 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edris Juan Ortiz Md NPPES

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

DR. EDRIS JUAN ORTIZ MD (NPI 1396734489) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (6202) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396734489
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. EDRIS JUAN ORTIZCredential: MD
Location AddressCALLE YUNQUE 594 CRB SUMMIT HILLSSan Juan, PR 00920
Mailing AddressCalle Yunque 594 Crb Summit HillsSan Juan, PR 00920 · (787) 783-1219
Phone(787) 783-1219
Sole ProprietorNo
Enumeration DateOctober 20, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1396734489 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 · 6202
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edris Juan Ortiz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Edris Ortiz's NPI number?

The NPI number for Edris Ortiz is 1396734489. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Edris Ortiz located?

Edris Ortiz practices at Calle Yunque 594 Crb Summit Hills, San Juan, PR 00920. The listed phone number is (787) 783-1219.

What is Edris Ortiz's specialty?

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

Is Edris Ortiz enrolled in Medicare?

Yes. Edris Ortiz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edris Ortiz was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.