Healthcare Provider Details

I. General information

NPI: 1982046025
Provider Name (Legal Business Name): DANIEL ALEXANDER ORTIZ RN,BSN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2013
Last Update Date: 07/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STRET ESTRELLA 1447 EDIF BAYOLA APT 1201 B
SAN JUAN PR
00907
US

IV. Provider business mailing address

CALLE ESTRELLA COND BAYOLA APT 1201B
SAN JUAN PUERTO RICO
00907
UM

V. Phone/Fax

Practice location:
  • Phone: 787-698-0796
  • Fax:
Mailing address:
  • Phone: 787-698-0796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number35403 G
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code163WC3500X
TaxonomyCardiac Rehabilitation Registered Nurse
License Number35403 G
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number35403 G
License Number StatePR
# 4
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number35403 G
License Number StatePR
# 5
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number35403 G
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: