Healthcare Provider Details

I. General information

NPI: 1699829820
Provider Name (Legal Business Name): MARILY RAMOS ORTIZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AA-7 CALLE PRINCIPAL VAN SCOY
BAYAMON PR
00957-6502
US

IV. Provider business mailing address

URBANIZACION PALACIOS DEL RIO II, 760 HERRERA STREET
TOA ALTA PR
00953-5122
US

V. Phone/Fax

Practice location:
  • Phone: 787-799-9926
  • Fax:
Mailing address:
  • Phone: 787-714-8892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number15468
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: