MEDICARE: DR. MICHELLE ORTIZ PENA PSY.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	004710	PR

General Provider Information

NPI Number	:	1275871352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE ORTIZ PENA PSY.D

Provider Business Mailing Address
First Line	:	1405 PASEO DEGETAU
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00727-2908
Country	:	US
Telephone Number	:	787-420-2626
Fax Number	:

Provider Business Practice Location Address
First Line	:	1607 AVE PONCE DE LEON STE 305
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00909-1815
Country	:	US
Telephone Number	:	787-420-2626
Fax Number	:	787-998-1230

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2013
Last Update Date	:	02/22/2024

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1063515039 — GRECIA SANCHEZ
Practice Location Address:

894 CALLE 45 SE , ESQ.AVE.AMERICO MIRANDA
SAN JUAN, PR
00921-1815

Practice Phone: 787-751-7255
Practice Fax: 787-274-2283

1205013935 — LABORATORIO CLINICO MICHELSAN INC
Practice Location Address:

894 CALLE 45 SE , AVE AMERICO MIRANDA
SAN JUAN, PR
00921-1815

Practice Phone: 787-751-7255
Practice Fax: 787-274-2283

1689851321 — MRS. GRECIA SANCHEZ BSMT
Practice Location Address:

894 CALLE 45 SE , AVE AMERICO MIRANDA
SAN JUAN, PR
00921-1815

Practice Phone: 787-751-7255
Practice Fax: 787-274-2283

1124297437 — DR. MICHELALDEMAR SANTIAGO-SANCHEZ M.D.
Practice Location Address:

892 CALLE 45 SE , REPARTO METROPOLITANO
SAN JUAN, PR
00921-1815

Practice Phone: 787-282-2525
Practice Fax:

1396748547 — GALILEO SURGERY CENTER, LP
Practice Location Address:

1001 E FOOTHILL BLVD
SAN LUIS OBISPO, CA
93405-1815

Practice Phone: 805-782-8222
Practice Fax: 805-782-8220

Directions to “ DR. MICHELLE ORTIZ PENA PSY.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.