DR. PETRA J ORTIZ M.D.
NPI 1609970094
General Practice in Guaynabo, PR

NPI Status: Active since September 07, 2006

Contact Information

102 CALLE CARAZO
GUAYNABO, PR
ZIP 00969
Phone: (787) 720-3053
Fax: (787) 287-4690

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  • Individual
  • Female
  • General Practice
  • PECOS Enrolled

About PETRA ORTIZ

This page provides the complete NPI Profile along with additional information for Petra Ortiz, a primary care provider established in Guaynabo, Puerto Rico with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1609970094 assigned on September 2006. The practitioner's primary taxonomy code is 208D00000X with license number 5349 (PR). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1609970094
Provider Name
DR. PETRA J ORTIZ M.D.
Gender
Female
Entity Type
Individual
Location Address
102 CALLE CARAZO GUAYNABO, PR 00969
Location Phone
(787) 720-3053
Location Fax
(787) 287-4690
Mailing Address
12-C STREET MIRADOR DE BORINQUEN GARDENS SAN JUAN, PR 00926
Mailing Phone
(787) 720-3053
Mailing Fax
(787) 287-4690
Is Sole Proprietor?
Yes
Enumeration Date
09-07-2006
Last Update Date
08-10-2017
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A primary care provider (PCP) like Petra Ortiz sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
5349
License State
PR
Taxonomy Description
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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E00113MEDICARE UPIN (02)PR 
023369MEDICARE ID-TYPE UNSPECIFIED (04)PR 

Medicare Participation & PECOS Enrollment Status

Petra Ortiz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609970094
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091870018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 7 + 0 + 0 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1609970094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609970094, enumerated in the NPI registry as an "individual" on September 07, 2006

The provider is located at 102 Calle Carazo Guaynabo, Pr 00969 and the phone number is (787) 720-3053

The provider's speciality is General Practice with taxonomy code 208D00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on September 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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