Provider Demographics
NPI:1629221940
Name:ORTIZ-ROSARIO, JOSE DAVID (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:DAVID
Last Name:ORTIZ-ROSARIO
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:A8 VIA HORIZONTE
Mailing Address - Street 2:URB LA VISTA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-4461
Mailing Address - Country:US
Mailing Address - Phone:787-886-3254
Mailing Address - Fax:787-957-1555
Practice Address - Street 1:B1 CALLE 1 ALTOS FARMACIA MEDINA #2
Practice Address - Street 2:VILLAS DE LOIZA
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-4116
Practice Address - Country:US
Practice Address - Phone:787-886-3254
Practice Address - Fax:787-957-1555
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2025-11-17
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Provider Licenses
StateLicense IDTaxonomies
PR18163207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRHP096AOtherMEDICARE PTAN