Provider Demographics
NPI:1972814416
Name:TORRES ORTIZ, JULIA (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:TORRES ORTIZ
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:URB. BUENA VISTA CALLE ALOA
Mailing Address - Street 2:#1403
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-2504
Mailing Address - Country:US
Mailing Address - Phone:787-974-5946
Mailing Address - Fax:
Practice Address - Street 1:URB. BUENA VISTA CALLE ALOA
Practice Address - Street 2:#1403
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2504
Practice Address - Country:US
Practice Address - Phone:787-974-5946
Practice Address - Fax:787-813-0331
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8023207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PREO1992Medicare UPIN