Provider Demographics
NPI:1083751572
Name:ORTIZ-ARES, NEFTALI (MD)
Entity Type:Individual
Prefix:DR
First Name:NEFTALI
Middle Name:
Last Name:ORTIZ-ARES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 294
Mailing Address - Street 2:
Mailing Address - City:RIO BLANCO
Mailing Address - State:PR
Mailing Address - Zip Code:00744-0294
Mailing Address - Country:US
Mailing Address - Phone:787-874-3444
Mailing Address - Fax:787-874-3444
Practice Address - Street 1:CARR 31 KM 9.8
Practice Address - Street 2:BO. RIO BLANCO
Practice Address - City:NAGUABO
Practice Address - State:PR
Practice Address - Zip Code:00744
Practice Address - Country:US
Practice Address - Phone:787-874-3444
Practice Address - Fax:787-874-3444
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10953208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR7180106Medicaid
PRCNDD10432-3OtherSTATE DRUG ADM LICENSE
PRCNDD10432-3OtherSTATE DRUG ADM LICENSE
PR7180106Medicaid
8-3219Medicare ID - Type Unspecified