Individual
DR. KELVIN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1 CALLE MCK JONES, CENTRO VISUAL DR. KELVIN ORTIZ, VILLALBA, PR 00766-2228
(787) 847-0091
(787) 847-0091
Mailing address
PO BOX 1511, VILLALBA, PR 00766-1511
(787) 847-0091
(787) 847-0091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
550
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020637024
MCS
PR
01
—
077165
BLUE CROSS
PR
01
—
101155
IVISION
PR
01
—
215136
PREFERRED
PR
01
—
2200117
HUMANA
PR
01
—
4671190001
PALMETTO GBA
PR
01
—
550
CPO
PR
01
—
62169
TRIPLE-S
PR
01
—
890097
MMM
PR
01
—
9402
IMC
PR
Enumeration date
07/13/2005
Last updated
07/31/2019
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