MEDICARE: DR. EDGARDO J ORTIZ M.D.

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	174400000X	Specialist	6882	PR
2	207W00000X	Ophthalmology Physician	6882	PR

General Provider Information

NPI Number	:	1710985502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDGARDO J ORTIZ M.D.

Provider Business Mailing Address
First Line	:	2431 AVE LAS AMERICAS
Second Line	:	A. PORRATA PILA
City	:	PONCE
State	:	PR
Zip	:	00717-2114
Country	:	US
Telephone Number	:	787-840-7230
Fax Number	:	787-848-7648

Provider Business Practice Location Address
First Line	:	2431 AVE LAS AMERICAS
Second Line	:	A. PORRATA PILA
City	:	PONCE
State	:	PR
Zip	:	00717-2113
Country	:	US
Telephone Number	:	787-840-7230
Fax Number	:	787-848-7648

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	07/12/2016

Similar Medicare Providers

1124404462 — DR. NATALIA SOFIA FERNANDEZ DAVILA MD
Practice Location Address:

2431 BLVD LUIS A FERRE , EDIF. A. PORRATA PILA, SUITE 305
PONCE, PR
00717-2113

Practice Phone: 787-401-5757
Practice Fax:

1881675114 — DR. PURA DEL CARMEN DEDOS PSY.D.,M.A.
Practice Location Address:

2431 AVE LAS AMERICAS , EDIFICIO A. PORRATA PILA SUITE 205
PONCE, PR
00717-2113

Practice Phone: 787-848-5050
Practice Fax: 787-848-5175

1811970734 — DR. ISABEL M DEL VALLE DDS
Practice Location Address:

2431 AVE LAS AMERICAS , SUITE 307
PONCE, PR
00717-2113

Practice Phone: 787-841-6681
Practice Fax: 787-841-5107

1740250919 — MRS. LYDIA IRIZARRY GONZALEZ M.D.
Practice Location Address:

2431 AVE LAS AMERICAS , EDIF.PORRATA PILA SUITE 304
PONCE, PR
00717-2113

Practice Phone: 787-844-4141
Practice Fax: 787-259-0031

1114995776 — DR. RAFAEL SOTO ACEVEDO MD
Practice Location Address:

2431 BLVD LUIS A FERRE
PONCE, PR
00717-2113

Practice Phone: 787-234-5386
Practice Fax:

1376512392 — DR. ORLANDO L VAZQUEZ TORRES MD
Practice Location Address:

2431 AVE LAS AMERICAS , STE 300
PONCE, PR
00717-2113

Practice Phone: 787-840-2104
Practice Fax: 787-840-2104

Directions to “ DR. EDGARDO J ORTIZ M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.