Provider Demographics
NPI:1093351132
Name:ORTIZ OCASIO, JAYNA N (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAYNA
Middle Name:N
Last Name:ORTIZ OCASIO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB LOS FLAMBOYANES 268 CALLE MAGA
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-2776
Mailing Address - Country:US
Mailing Address - Phone:787-964-2803
Mailing Address - Fax:
Practice Address - Street 1:AVE TENIENTE NELSON MARTINEZ
Practice Address - Street 2:LOMAS VERDES
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-620-9618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR006737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist