# ORTIZ MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598982381
- **Authorized official:** DR. LUIS JUAN ORTIZ MATOS M.D. (PRESIDENTE)
- **Authorized official phone:** (787) 859-0112

## Contact information

- **Practice address:** URB. SANFELIZ, CALLE 1 CASA 1, COROZAL, PR 00783-0209
- **Practice address phone:** (787) 859-0112
- **Practice address fax:** (787) 859-6846
- **Mailing address:** PO BOX 209, COROZAL, PR 00783-0209
- **Mailing address phone:** (787) 859-0112
- **Mailing address fax:** (787) 859-6846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 302R00000X | PR | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 08/22/2020