Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 10 185 | PR |
NPI | 1013906007 |
---|---|
Provider Name | Mr. Jose L Ortiz Colon |
First Address | Manati, PR 00674 |
Second Address | Manati, PR 00674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 23/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
160426 | ACAA (01) | |
27745 | ASOCIACION MAESTRO (01) | |
3920 | AMERICAN HEALTH (01) | |
60193 | CRUZ AZUL (01) | PR |
8035 | FMPR (01) | |
8623 | INTERNATIONAL MEDICAL CAR (01) | |
88519 | SSS (01) | PR |
E22701 | ASOMEDIC (01) | |
G41217 | (02) |