Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 19286 | PR |
N | 111NI0900X | Internist | 19286 | PR |
N | 207RC0000X | Internist - Cardiovascular Disease | 19286 | PR |
Y | 207RI0011X | Interventional Cardiology | 19286 | PR |
NPI | 1083059547 |
---|---|
Provider Name | Dr. Ismael Ortiz-Cartagena |
First Address | Canovanas, PR 00729-9622 |
Second Address | Bayamon, PR 00961 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2013 |
Last Update Date | 13/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MR465 | (05) | PR |