Healthcare Provider Details

I. General information

NPI: 1669957528
Provider Name (Legal Business Name): JOSE L. ORTEGA, HEMATOLOGY AND ONCOLOGY GROUP PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2018
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 CARR 2 STE 406
BAYAMON PR
00959-7204
US

IV. Provider business mailing address

1353 AVENIDA LUIS VIGOREAUX PMB 178
GUAYNABO PR
00966
US

V. Phone/Fax

Practice location:
  • Phone: 787-425-0100
  • Fax: 787-425-0101
Mailing address:
  • Phone: 787-425-0100
  • Fax: 787-425-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSE L ORTEGA SANCHEZ
Title or Position: OWNER
Credential: MD
Phone: 787-425-0100