Provider Demographics
NPI:1225066236
Name:ORTIZ, ALMA I (MPT,PT)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:I
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:MPT,PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 CALLE GERANIO
Mailing Address - Street 2:HACIENDA FLORIDA
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-4536
Mailing Address - Country:US
Mailing Address - Phone:939-639-4501
Mailing Address - Fax:787-267-3338
Practice Address - Street 1:491 CALLE GERANIO
Practice Address - Street 2:HACIENDA FLORIDA
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-4536
Practice Address - Country:US
Practice Address - Phone:939-639-4501
Practice Address - Fax:787-267-3338
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1068225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist