Healthcare Provider Details

I. General information

NPI: 1326954215
Provider Name (Legal Business Name): CARLOS MANUEL ORTIZ NAZARIO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 CALLE ESMERALDA, UBR. BRISAS DE CAMPANERO II UBR. BRISAS DE CAMPANERO II
TOA BAJA PR
00949-4859
US

IV. Provider business mailing address

168 CALLE ESMERALDA, UBR. BRISAS DE CAMPANERO II UBR. BRISAS DE CAMPANERO II
TOA BAJA PR
00949-4859
US

V. Phone/Fax

Practice location:
  • Phone: 787-975-3310
  • Fax:
Mailing address:
  • Phone: 787-975-3310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8702
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: