MEDICARE: DR. RAMON LUIS ORTEGA COLON 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	4714	PR

General Provider Information

NPI Number	:	1750386777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMON LUIS ORTEGA COLON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 4377
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00984-4377
Country	:	US
Telephone Number	:	787-757-2550
Fax Number	:	787-762-2425

Provider Business Practice Location Address
First Line	:	MONSERRATE AVE.
Second Line	:	BA-14 VALLE ARRIBA HEIGHTS
City	:	CAROLINA
State	:	PR
Zip	:	00983-0000
Country	:	US
Telephone Number	:	787-757-2550
Fax Number	:	787-762-2425

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	12/27/2010

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