MEDICARE: RAMON A ORTIZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	10245	PR

General Provider Information

NPI Number	:	1689651291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMON A ORTIZ MD

Provider Business Mailing Address
First Line	:	PO BOX 1712
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00726-1712
Country	:	US
Telephone Number	:	787-745-6206
Fax Number	:	787-744-8237

Provider Business Practice Location Address
First Line	:	CALLE QAHUECA A-7
Second Line	:	PARQUE DEL RIO
City	:	CAGUAS
State	:	PR
Zip	:	00727-7735
Country	:	US
Telephone Number	:	787-744-0933
Fax Number	:	787-744-8237

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2005
Last Update Date	:	01/29/2013

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