Healthcare Provider Details

I. General information

NPI: 1003035619
Provider Name (Legal Business Name): BEATRIZ RAMIREZ ORTIZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STREET 4 B16
CAROLINA PR
00985
US

IV. Provider business mailing address

STREET 4 B16 ESTANCIAS DE SAN FERNANDO
CAROLINA PR
00985
US

V. Phone/Fax

Practice location:
  • Phone: 787-757-6043
  • Fax: 787-757-6043
Mailing address:
  • Phone: 787-757-6043
  • Fax: 787-757-6043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number9504
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number9504
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: