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NPI Code Detail

MEDICARE: DR. JOSE MARTIN ORTIZ

MEDICARE: DR. JOSE MARTIN ORTIZ
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
1207RG0100XGastroenterology Physician12265PR

General Provider Information

NPI Number : 1902802051
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE MARTIN ORTIZ
Provider Business Mailing Address
First Line : 10 CALLE CASIA
Second Line : VA CARIBBEAN HEALTHCARE SYSTEM
City : SAN JUAN
State : PR
Zip : 00921-3200
Country : US
Telephone Number : 787-641-7582
Fax Number :
Provider Business Practice Location Address
First Line : 10 CALLE CASIA
Second Line : VA CARIBBEAN HEALTHCARE SYSTEM
City : SAN JUAN
State : PR
Zip : 00921-3200
Country : US
Telephone Number : 787-641-7582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 02/28/2017

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Directions to “ DR. JOSE MARTIN ORTIZ ” Practice Location

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