Provider Demographics
NPI:1659510964
Name:TULIO L ORTIZ ROBLES
Entity Type:Organization
Organization Name:TULIO L ORTIZ ROBLES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RADIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TULIO
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-795-2055
Mailing Address - Street 1:PO BOX 50353
Mailing Address - Street 2:LEVITTOWN
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00950-0353
Mailing Address - Country:US
Mailing Address - Phone:787-795-2055
Mailing Address - Fax:787-261-1788
Practice Address - Street 1:1173 AVE DOS PALMAS
Practice Address - Street 2:LEVITTOWN
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-4102
Practice Address - Country:US
Practice Address - Phone:787-795-2055
Practice Address - Fax:787-261-1788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology