Healthcare Provider Details

I. General information

NPI: 1487614103
Provider Name (Legal Business Name): ALMA B ORTIZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/25/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COND DE DIEGO SUITE 503
SAN JUAN PR
00923-3001
US

IV. Provider business mailing address

165 CALLE AZUCENA CIUDAD JARDIN
CAROLINA PR
00987-2211
US

V. Phone/Fax

Practice location:
  • Phone: 787-725-7348
  • Fax: 787-725-5025
Mailing address:
  • Phone: 787-640-6733
  • Fax: 787-725-5025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number13421
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number13421
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: