Healthcare Provider Details

I. General information

NPI: 1194363705
Provider Name (Legal Business Name): MARGARITA ORTIZ RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2019
Last Update Date: 12/13/2019
Certification Date: 12/13/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVENIDA MONSERRATE ESQUINA MAIN CALDERON
VILLA CAROLINA, CAROLINA PR
00985
US

IV. Provider business mailing address

PO BOX 6017
CAROLINA PR
00984-6017
US

V. Phone/Fax

Practice location:
  • Phone: 787-276-2808
  • Fax:
Mailing address:
  • Phone: 787-276-0455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03231
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: