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NPI Code Detail

MEDICARE: LORIMAR ORTIZ ORTIZ M.D.

MEDICARE: LORIMAR ORTIZ 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
1207Q00000XFamily Medicine Physician19,071PR
2282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1841630811
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORIMAR ORTIZ ORTIZ M.D.
Provider Business Mailing Address
First Line : PO BOX 7
Second Line :
City : COAMO
State : PR
Zip : 00769-0007
Country : US
Telephone Number : 787-416-1010
Fax Number : 364-202-9215
Provider Business Practice Location Address
First Line : 1123 AVE HOSTOS
Second Line :
City : PONCE
State : PR
Zip : 00717-0952
Country : US
Telephone Number : 787-416-1010
Fax Number : 364-202-9215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2013
Last Update Date : 06/19/2023

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