Healthcare Provider Details

I. General information

NPI: 1306751888
Provider Name (Legal Business Name): ANNMARIE CALZADA ORTIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G276 CALLE 6
RIO GRANDE PR
00745-3319
US

IV. Provider business mailing address

URB ALTURAS DE RIO GRANDE CALLE 6 G276
RIO GRANDE PR
00745-0000
US

V. Phone/Fax

Practice location:
  • Phone: 787-406-0789
  • Fax:
Mailing address:
  • Phone: 787-406-0789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number8656
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: