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MARIELY NICOLE ORTIZ DMD
NPI 1760861769
Dentist - General Practice in Patillas, PR

Active since May 22, 2015PECOS Enrolled
CALLE GUILLERMO RIESKOHL, PATILLAS, PR 00723(787) 839-4320 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2019, Oct 18, 2018 (2 updates tracked since 2018).

About Mariely Nicole Ortiz Dmd NPPES

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

MARIELY NICOLE ORTIZ DMD (NPI 1760861769) is an individual general practice provider in Patillas, Puerto Rico, licensed in Puerto Rico (3252) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760861769
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMARIELY NICOLE ORTIZCredential: DMD
Location AddressCALLE GUILLERMO RIESKOHLPatillas, PR 00723-0697
Mailing AddressExt Villa Milagros, 46 Rene AlfonsoYauco, PR 00698 · (787) 202-8826
Phone(787) 839-4320
Sole ProprietorYes
Enumeration DateMay 22, 2015
Last NPPES UpdateApril 3, 20192 updates tracked since enumeration
✔ NPI 1760861769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PR · 3252
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariely Nicole Ortiz Dmd 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 Mariely Ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Servicios Primarios De Salud De Patillas Inc.
Health Service
CALLE BARBOSA #14 ESQ, CALLE DIOSDADO, COMUNIDAD EL COCO BARRIO LAPAS
Salinas, PR 00751
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Medicare enrollment name: Centro Servicios Primarios De Salud De Patillas Inc.
  • 39 clinicians in this Medicare group
NPI 1154070365 (787) 839-4320

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 00723 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
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.

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 Mariely Ortiz's NPI number?

The NPI number for Mariely Ortiz is 1760861769. It was assigned to this individual provider in the NPPES registry on May 22, 2015.

Where is Mariely Ortiz located?

Mariely Ortiz practices at Calle Guillermo Rieskohl, Patillas, PR 00723. The listed phone number is (787) 839-4320.

What is Mariely Ortiz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mariely Ortiz enrolled in Medicare?

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

Which organization bills Medicare for Mariely Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariely Ortiz reassigns Medicare benefits to Centro De Servicios Primarios De Salud De Patillas Inc. (Salinas, 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 Mariely Ortiz'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 Mariely Ortiz was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.