Provider Demographics
NPI:1689651291
Name:ORTIZ, RAMON A (MD)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:A
Last Name:ORTIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1712
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1712
Mailing Address - Country:US
Mailing Address - Phone:787-745-6206
Mailing Address - Fax:787-744-8237
Practice Address - Street 1:CALLE QAHUECA A-7
Practice Address - Street 2:PARQUE DEL RIO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-7735
Practice Address - Country:US
Practice Address - Phone:787-744-0933
Practice Address - Fax:787-744-8237
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-23
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10245208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics