Provider Demographics
NPI:1003016726
Name:ORTIZ, EMILY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:889 DRA IRMA RUIZ
Mailing Address - Street 2:BRISAS DEL MAR
Mailing Address - City:LUQUILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00773-6601
Mailing Address - Country:US
Mailing Address - Phone:787-889-3107
Mailing Address - Fax:787-889-3107
Practice Address - Street 1:889 CALLE DRA IRMA RUIZ PAGAN
Practice Address - Street 2:BRISAS DEL MAR
Practice Address - City:LUQUILLO
Practice Address - State:PR
Practice Address - Zip Code:00773-0077
Practice Address - Country:US
Practice Address - Phone:787-889-3107
Practice Address - Fax:787-889-3094
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist