# LORTIZ CARDIOVASCULAR MEDICINE PSC

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

## Provider details

- **NPI number:** 1801107073
- **Authorized official:** DR. LUIS ORTIZ MD (PRESIDENT)
- **Authorized official phone:** (787) 795-6550

## Contact information

- **Practice address:** COND CORAL INN APT 1101, FELIZA GAUTIER, SAN JUAN, PR 00907-1454
- **Practice address phone:** (787) 798-6550
- **Practice address fax:** (787) 798-6590
- **Mailing address:** COND COLINA REAL APT 1101, FELIZA GAUTIER, SAN JUAN, PR 00926
- **Mailing address phone:** (787) 798-6550
- **Mailing address fax:** (787) 798-6590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 14849 | PR | Yes |

## Other

- **Enumeration date:** 06/23/2010
- **Last updated:** 06/23/2010