Healthcare Provider Details

I. General information

NPI: 1578478301
Provider Name (Legal Business Name): MARIELIZ ORTIZ GARCIA BSN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 262
PATILLAS PR
00723-0262
US

IV. Provider business mailing address

PO BOX 262
PATILLAS PR
00723-0262
US

V. Phone/Fax

Practice location:
  • Phone: 787-566-7545
  • Fax:
Mailing address:
  • Phone: 787-566-7545
  • Fax: 787-356-5648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number99885G
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: