| Organization Name: | SIRIUS HEALTH PSC |
| NPI Number: | 1215164579 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANETTE AMANDA ORTIZ (PHYSICIAN) |
| Mailing Address: | 23 Calle Aguas Buenas Boneville Heights Caguas |
| State: | PR US |
| Postal Code: | 007274947 |
| Phone Number: | 7875658558 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2009 |
| NPI Last Update Date: | 06/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15385 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |