Provider Demographics
NPI:1710024278
Name:ORDEIN, JOSE J (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:J
Last Name:ORDEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2674
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-2674
Mailing Address - Country:US
Mailing Address - Phone:787-771-7999
Mailing Address - Fax:787-771-7996
Practice Address - Street 1:PONCE DE LEON AVE NUMBER 37 1/2
Practice Address - Street 2:APARTADO 191227 CLINICA GASTROENTEROLOGIA PEDIATRICA
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00919-1227
Practice Address - Country:US
Practice Address - Phone:787-758-2000
Practice Address - Fax:787-771-7996
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR9135174400000X, 2080P0206X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No174400000XOther Service ProvidersSpecialist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics