Healthcare Provider Details

I. General information

NPI: 1679582415
Provider Name (Legal Business Name): RENE RAMIREZ-ORTIZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 08/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 CALLE DE DIEGO STE 304 TORRE SAN FRANCISCO
SAN JUAN PR
00923-3004
US

IV. Provider business mailing address

TORRE SAN FRANCISCO SUITE# 304 DE DIEGO AVE. 369
SAN JUAN PUERTO RICO
00923
UM

V. Phone/Fax

Practice location:
  • Phone: 787-250-7577
  • Fax: 787-250-7578
Mailing address:
  • Phone: 787-250-7577
  • Fax: 787-250-7578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License Number11958
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: