1. Home
  2. Directory
  3. NPI Profile

EDGARDO RAUL ORTIZ RIVERA MD
NPI 1558909341
General Practice in Ponce, PR

Active since December 12, 2019PECOS Enrolled
ESTANCIAS DEL GOLF CLUB JUAN H CINTRON #345 PONCE PR, PONCE, PR 00730(787) 233-1960 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2024, Sep 9, 2024, Dec 16, 2019 and 1 more (4 updates tracked since 2019).

About Edgardo Raul Ortiz Rivera Md NPPES

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

EDGARDO RAUL ORTIZ RIVERA MD (NPI 1558909341) is an individual general practice provider in Ponce, Puerto Rico, licensed in Puerto Rico (21613) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558909341
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameEDGARDO RAUL ORTIZ RIVERACredential: MD
Location AddressESTANCIAS DEL GOLF CLUB JUAN H CINTRON #345 PONCE PRPonce, PR 00730
Mailing AddressEstancias Del Golf Club Juan H Cintron #345Ponce, PR 00730 · (787) 233-1960
Phone(787) 233-1960
Sole ProprietorYes
Enumeration DateDecember 12, 2019
Last NPPES UpdateNovember 21, 20244 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1558909341 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 · 21613
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

Other Identifiers 1

Medicaid410PR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgardo Raul Ortiz Rivera 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.

Medicare Billing Reassignment

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

Municipio De Guayanilla
Public Health or Welfare
1 CALLE JOSE DE DIEGO
Guayanilla, PR 00656
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 11 clinicians in this Medicare group
NPI 1871794198 (787) 835-4254

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

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 1558909341. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Edgardo Ortiz Rivera located?

Edgardo Ortiz Rivera practices at Estancias Del Golf Club Juan H Cintron #345 Ponce Pr, Ponce, PR 00730. The listed phone number is (787) 233-1960.

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 enrollment system.

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

According to the CMS Revalidation Reassignment List (October 2026 release), Edgardo Ortiz Rivera reassigns Medicare benefits to Municipio De Guayanilla (Guayanilla, 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 Rivera'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 Rivera was last updated on November 21, 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.