Provider Demographics
NPI:1467171611
Name:ORTIZ, DILYA JANETTE (BSN)
Entity Type:Individual
Prefix:
First Name:DILYA
Middle Name:JANETTE
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 370854
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-0854
Mailing Address - Country:US
Mailing Address - Phone:787-477-2913
Mailing Address - Fax:
Practice Address - Street 1:BO. JUAN SANCHEZ
Practice Address - Street 2:CARR. #2 KM. 8.2
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960-7087
Practice Address - Country:US
Practice Address - Phone:787-477-2913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR29834163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse