ANGEL LUIS MEDINA ORTA
NPI 1720733710
General Practice in San Lorenzo, PR

Active since February 17, 2022PECOS Enrolled
URB SANTA CLARA CALLE 5 #222, SAN LORENZO, PR 00754(787) 672-8753 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angel Luis Medina Orta NPPES

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

ANGEL LUIS MEDINA ORTA (NPI 1720733710) is an individual general practice provider in San Lorenzo, Puerto Rico, licensed in Puerto Rico (22601) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720733710
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameANGEL LUIS MEDINA ORTA
Location AddressURB SANTA CLARA CALLE 5 #222San Lorenzo, PR 00754-9998
Mailing AddressUrb Santa Clara Calle 5 #222San Lorenzo, PR 00754-9998 · (787) 672-8753
Sole ProprietorYes
Enumeration DateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
NPI 1720733710 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 · 22601
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

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Angel Luis Medina Orta 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 Angel Medina Orta's NPI number?

The NPI number for Angel Medina Orta is 1720733710. It was assigned to this individual provider in the NPPES registry on February 17, 2022.

Where is Angel Medina Orta located?

Angel Medina Orta practices at Urb Santa Clara Calle 5 #222, San Lorenzo, PR 00754. The listed phone number is (787) 672-8753.

What is Angel Medina Orta's specialty?

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

Is Angel Medina Orta enrolled in Medicare?

Yes. Angel Medina Orta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angel Medina Orta was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.