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NPI Code Detail

MEDICARE: DR. EDDIE ORTIZ MD

MEDICARE:  DR. EDDIE  ORTIZ  MD
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
1207Q00000XFamily Medicine Physician13131PR

General Provider Information

NPI Number : 1669471702
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDDIE ORTIZ MD
Provider Business Mailing Address
First Line : 313 CALLE NEBRASKA
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-3311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : H2 CALLE CASTIGLIONI
Second Line : BAYAMON GARDENS
City : BAYAMON
State : PR
Zip : 00957-2427
Country : US
Telephone Number : 787-730-7073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 07/08/2007

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Directions to “ DR. EDDIE ORTIZ MD” Practice Location

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