Dr Luis Antonio Ortiz Heredia, - Medicare General Practice in Ponce, PR

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Dr Luis Antonio Ortiz Heredia, is a medicare enrolled "Internal Medicine - Nephrology" physician in Ponce, Puerto Rico. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Southeast Renal Group Psc and his current practice location is Caribbean Medical Center Ponce By Pass 2275, Suite 202, Ponce, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 840-1455.

Dr Luis Antonio Ortiz Heredia is licensed to practice in Puerto Rico (license number 16621) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083810162.

Contact Information

Dr Luis Antonio Ortiz Heredia,
Caribbean Medical Center Ponce By Pass 2275, Suite 202,
Ponce, PR 00717-0020
(787) 840-1455
(787) 848-4657

Map and Direction




Physician's Profile

Full NameDr Luis Antonio Ortiz Heredia
GenderMale
SpecialityGeneral Practice
Experience22 Years
LocationCaribbean Medical Center Ponce By Pass 2275, Ponce, Puerto Rico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Luis Antonio Ortiz Heredia graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1083810162
  • Provider Enumeration Date: 06/25/2007
  • Last Update Date: 07/15/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9739254772
  • Enrollment ID: I20080826000454

Medical Identifiers

Medical identifiers for Dr Luis Antonio Ortiz Heredia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083810162NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 16621 (Puerto Rico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
San Luke's Memorial Hospital IncPonce, PRHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Luis Antonio Ortiz Heredia allows following entities to bill medicare on his behalf.
Entity NameSouth Renal Care, P.s.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295020790
PECOS PAC ID: 4688833908
Enrollment ID: O20120306000794
Entity NameSoutheast Renal Group Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821413527
PECOS PAC ID: 0840517025
Enrollment ID: O20150327000419

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Luis Antonio Ortiz Heredia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Luis Antonio Ortiz Heredia,
Po Box 335251,
Ponce, PR 00733-5251

Ph: (787) 362-0722		Dr Luis Antonio Ortiz Heredia,
Caribbean Medical Center Ponce By Pass 2275, Suite 202,
Ponce, PR 00717-0020

Ph: (787) 840-1455

Reviews and Comments


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Mr. Gabriel Martinez-rodriguez, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.