Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Luis Antonio Ortiz Heredia

Individual provider Nephrology Physician · NPI 1083810162

Dr. Luis Antonio Ortiz Heredia is a General Practice in Ponce, Puerto Rico. Qualified in 2002, 24 years ago. Practices with Southeast Renal Group PSC, a 4-clinician group and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
24
Licensed in
PR
In the registry since
2007
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Caribbean Medical Center Ponce By Pass 2275 Ste 202
Ponce, PR 00717-0020
Phone: (787) 840-1455
Fax: (787) 848-4657

No coordinates on file. Search this address in Google Maps

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 16621 (PR)

Record details

NPI number1083810162
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 25, 2007
Last updated in NPPESJuly 15, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Southeast Renal Group Psc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Ponce