Doctor Name: | JORGE L ORTIZ RAMOS |
NPI Number: | 1326037359 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 10106 |
Business Practice Address: | Carr 863 Km 0.5 Bo Pajaros Candelario Toa Baja, PR - 00949 |
Business Phone Number: | 7872512667 |
Business Fax Number: | 7872511418 |
Mailing Address: | Pmb 213, Po Box 2400 TOD BAJA |
State: | PR |
Postal Code: | 00951 |
Phone Number: | 7872512667 |
Fax Number: | 7872511418 |
NPI Enumeration Date: | 10/21/2005 |
NPI Last Update Date: | 12/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 10106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |