Healthcare Provider Details

I. General information

NPI: 1174048292
Provider Name (Legal Business Name): DR. JORGE JUAN OCHOA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 CALLE J URB EXT HERMANAS DAVILA
BAYAMON PR
00959-4503
US

IV. Provider business mailing address

13 CALLE J URB EXT HERMANAS DAVILA
BAYAMON PR
00959-4503
US

V. Phone/Fax

Practice location:
  • Phone: 787-622-5420
  • Fax:
Mailing address:
  • Phone: 787-622-5420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number15278
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35542
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: