NPI Code Detail JSON Logo

1851923668 NPI number — LUIS ENRIQUE ORTIZ RPH

NPI Number: 1851923668
Health Care Provider/Practitioner: LUIS ENRIQUE ORTIZ RPH

Information about “1851923668” NPI (LUIS ENRIQUE ORTIZ RPH) exists in 1851923668 in HTML format HTML  |  1851923668 in plain Text format TXT  |  1851923668 in PDF (Portable Document Format) PDF  |  1851923668 in an XML format XML  formats.

NPI Number : 1851923668 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851923668",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ORTIZ",
    "FirstName": "LUIS",
    "MiddleName": "ENRIQUE",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ORTIZ",
    "OtherFirstName": "LUIS",
    "OtherMiddleName": "ENRIQUE",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "RPH",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1484 AVE. F. D. ROOSEVELT",
    "SecondLineMailingAddress": "SUITE 19",
    "MailingAddressCityName": "SAN JUAN",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00920",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-783-4510",
    "MailingAddressFaxNumber": "787-792-0831",
    "FirstLinePracticeLocationAddress": "1484 AVE. F. D. ROOSEVELT",
    "SecondLinePracticeLocationAddress": "SUITE 19",
    "PracticeLocationAddressCityName": "SAN JUAN",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00920",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-783-4510",
    "PracticeLocationAddressFaxNumber": "787-792-0831",
    "EnumerationDate": "02/10/2020",
    "LastUpdateDate": "02/10/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1835P2201X",
        "TaxonomyName": "Ambulatory Care Pharmacist",
        "LicenseNumber": "3261",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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