Provider Demographics
NPI:1144284845
Name:ORTIZ, JANET PIZAM (MD PEDIATRA)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:PIZAM
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:MD PEDIATRA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE 8 F 45 SANTA YENA
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957
Mailing Address - Country:US
Mailing Address - Phone:787-785-4047
Mailing Address - Fax:787-730-3637
Practice Address - Street 1:AVENIDA CASTIGHONI K 5 BAYAMON GARDENS
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-730-3637
Practice Address - Fax:787-730-3637
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11596208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR90347OtherTRIPLE S