Healthcare Provider Details

I. General information

NPI: 1437092327
Provider Name (Legal Business Name): JEYLEEN ORTIZ, MD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO. FRANQUEZ CARR 155 KM 56
MOROVIS PR
00687
US

IV. Provider business mailing address

PO BOX 411
OROCOVIS PR
00720-0411
US

V. Phone/Fax

Practice location:
  • Phone: 939-249-7411
  • Fax:
Mailing address:
  • Phone: 787-510-4826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number021316
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: