DR. EDGARDO LUIS ORTIZ GINES OD
NPI 1518693100
Optometrist in Rio Grande, PR

Q: What is Edgardo Ortiz Gines's NPI number?

The NPI number for Edgardo Ortiz Gines is 1518693100. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Q: What is Edgardo Ortiz Gines's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since July 27, 2022PECOS Enrolled

RIO GRANDE TOWN CENTER CARR 3 SUITE A-19, RIO GRANDE, PR 00745(787) 988-7061 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 24, 2024, Aug 4, 2022, Jul 27, 2022 (3 updates tracked since 2022).

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About Dr. Edgardo Luis Ortiz Gines Od NPPES

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

DR. EDGARDO LUIS ORTIZ GINES OD (NPI 1518693100) is an individual optometrist in Rio Grande, Puerto Rico, licensed in Puerto Rico (756) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518693100

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. EDGARDO LUIS ORTIZ GINESCredential: OD

Location AddressRIO GRANDE TOWN CENTER CARR 3 SUITE A-19Rio Grande, PR 00745

Mailing AddressCalle 7f8 Rincon EspanolTrujillo Alto, PR 00976 · (939) 274-3911

Phone(787) 988-7061

Sole ProprietorYes

Enumeration DateJuly 27, 2022

Last NPPES UpdateDecember 24, 20243 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1518693100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in PR · 756

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Secondary Practice Locations 2

Location 1Palma Real Carr 3 Suite 170Humacao, PR 00791 · Phone (787) 850-5222

Location 2Plaza Fajardo Carr 3 Suite 125Fajardo, PR 00738 · Phone (787) 801-5896

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edgardo Luis Ortiz Gines Od 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.

Medicare Billing Reassignment

Medicare enrollment records show Edgardo Ortiz Gines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ecb Humacao

Optometrist

PLAZA FAJARDO, CARR 3 KM 43.3 SUITE 125
Fajardo, PR 00738

Reassigned Medicare billing, Puerto Rico enrollment
7 clinicians in this Medicare group

NPI 1104604768 (787) 558-5501

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00745 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

$70.88 typical visit price

range $18.24 – $140.44

Typical copayment $17.72 (range $4.56 – $35.11)

Most-billed visit code 99213

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

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

DR. CRISTINA MICHELLE MENA ZAMBRANA OD

Optometrist

RIO GRANDE TOWN CENTER CARR 3 SUITE A-19
RIO GRANDE, PR 00745

Río Grande Municipio (787) 988-7061

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 Gines's NPI number?

The NPI number for Edgardo Ortiz Gines is 1518693100. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Where is Edgardo Ortiz Gines located?

Edgardo Ortiz Gines practices at Rio Grande Town Center Carr 3 Suite A-19, Rio Grande, PR 00745. The listed phone number is (787) 988-7061.

What is Edgardo Ortiz Gines's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Edgardo Ortiz Gines enrolled in Medicare?

Yes. Edgardo Ortiz Gines is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edgardo Ortiz Gines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgardo Ortiz Gines reassigns Medicare benefits to Ecb Humacao (Fajardo, 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 Edgardo Ortiz Gines'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 Edgardo Ortiz Gines was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.