Provider Demographics
NPI:1154468239
Name:ORTEGA - GIL, JORGE V (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:V
Last Name:ORTEGA - GIL
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1674 CALLE VERBENA
Mailing Address - Street 2:URB. SAN FRANCISCO
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6231
Mailing Address - Country:US
Mailing Address - Phone:787-754-8500
Mailing Address - Fax:787-274-8156
Practice Address - Street 1:AVE AMERICO MIRANDA, ESQ CENTRO MEDICO, PRIMER PISO
Practice Address - Street 2:CENTRO CARDIOVASCULAR DEPR Y DELCARIBE STE 4
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00936-6528
Practice Address - Country:US
Practice Address - Phone:787-754-8500
Practice Address - Fax:787-274-8156
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2010-10-15
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Provider Licenses
StateLicense IDTaxonomies
PR3964207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3964OtherLICENCE
PRC78112Medicare UPIN