Individual
NOEL A. ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CALLE I # 48, EXT. HERMANAS DAVILA, BAYAMON, PR 00960
(787) 763-5189
(787) 763-5189
Mailing address
M11 CALLE ROSA, PARQUES DE SANTA MARIA, RIO PIEDRAS, SAN JUAN, PR 00927-6736
(787) 763-5189
(787) 763-5189
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4366
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002619A
MEDICARE GROUP PROVIDER #
PR
Enumeration date
07/05/2006
Last updated
02/03/2008
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