Healthcare Provider Details

I. General information

NPI: 1376489104
Provider Name (Legal Business Name): JOYSSEL ORTIZ MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE LIBERTAD, PLAYITA CORTADA
SANTA ISABEL PR
00757
US

IV. Provider business mailing address

PO BOX 158
SALINAS PR
00751-0158
US

V. Phone/Fax

Practice location:
  • Phone: 787-223-9362
  • Fax:
Mailing address:
  • Phone: 787-223-9362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number8484
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: