Provider Demographics
NPI:1508824731
Name:ORTIZ RANGEL, JULIA (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:ORTIZ RANGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CALLE BERTOLY
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-3162
Mailing Address - Country:US
Mailing Address - Phone:787-843-3089
Mailing Address - Fax:787-843-3089
Practice Address - Street 1:18 CALLE BERTOLY
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-3162
Practice Address - Country:US
Practice Address - Phone:787-843-3089
Practice Address - Fax:787-843-3089
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10094208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH81336Medicare UPIN
PR0020002Medicare ID - Type Unspecified