Provider Demographics
NPI:1891736377
Name:ORTIZ-RIVERA, ANABELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANABELLE
Middle Name:
Last Name:ORTIZ-RIVERA
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:HC 1 BOX 5846
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-9255
Mailing Address - Country:US
Mailing Address - Phone:787-913-0005
Mailing Address - Fax:787-913-0003
Practice Address - Street 1:909 AVE TITO CASTRO
Practice Address - Street 2:TORRE MEDICA SAN LUCAS - SUITE 804
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-4728
Practice Address - Country:US
Practice Address - Phone:787-913-0005
Practice Address - Fax:787-913-0003
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12983207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0020830Medicare PIN
PROTH000Medicare UPIN