| Doctor Name: | DR. JORGE L ORTIZ MELENDEZ |
| NPI Number: | 1013920164 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 8154 |
| Business Practice Address: | V17 Calle 10 Alturas De Flamboyan Bayamon, PR - 009598051 |
| Business Phone Number: | 7877952935 |
| Business Fax Number: | 7877840680 |
| Mailing Address: | Po Box 51513, Levittown Station TOA BAJA |
| State: | PR |
| Postal Code: | 009501513 |
| Phone Number: | 7877952935 |
| Fax Number: | 7877840680 |
| NPI Enumeration Date: | 08/13/2006 |
| NPI Last Update Date: | 09/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 8154 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |