Provider Demographics
NPI:1386625879
Name:ORTIZ MARTINEZ, HECTOR LUIS (MD FAAP)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:LUIS
Last Name:ORTIZ MARTINEZ
Suffix:
Gender:M
Credentials:MD FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3912
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3912
Mailing Address - Country:US
Mailing Address - Phone:787-832-2222
Mailing Address - Fax:787-832-2252
Practice Address - Street 1:EDIFICIO POST CENTER 60 N
Practice Address - Street 2:OFICINA 107
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-832-2222
Practice Address - Fax:787-832-2252
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR8277208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
418277OtherUIA
99645OtherSSS
7090044OtherHUMANA
066784OtherCAREFIRST BCBS PLANS
203242OtherUTI