Provider Demographics
NPI:1033162367
Name:GARCIA ORTIZ, OSCAR (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:
Last Name:GARCIA ORTIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:OSCAR
Other - Middle Name:
Other - Last Name:GARCIA ORTIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 4002
Mailing Address - Street 2:PMB 101
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-4002
Mailing Address - Country:US
Mailing Address - Phone:787-485-2513
Mailing Address - Fax:787-870-6537
Practice Address - Street 1:LUIS MUNOZ RIVERA EXT #7
Practice Address - Street 2:
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692-0000
Practice Address - Country:US
Practice Address - Phone:787-485-2513
Practice Address - Fax:787-870-6537
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14865207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR825460OtherMEDICARE Y MUCHO MAS
PR0022114Medicare ID - Type UnspecifiedPHYSICIAN