| Doctor Name: | OMAR O ORTEGA |
| NPI Number: | 1710120217 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.T. |
| License Number: | #87 |
| Business Practice Address: | 3 Calle Betances Edificio Rossy Ciales, PR - 006383200 |
| Business Phone Number: | 7878710446 |
| Business Fax Number: | |
| Mailing Address: | Po Box 275, CIALES |
| State: | PR |
| Postal Code: | 006380275 |
| Phone Number: | 7874385824 |
| Fax Number: | |
| NPI Enumeration Date: | 04/13/2009 |
| NPI Last Update Date: | 04/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471R0002X |
| License Number: | #87 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiation Therapy |
| Taxonomy Definition: | |