Provider Demographics
NPI:1184452773
Name:ORTIZ-RUIZ, ROBERTO
Entity type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:
Last Name:ORTIZ-RUIZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1094
Mailing Address - Street 2:
Mailing Address - City:FLORIDA
Mailing Address - State:PR
Mailing Address - Zip Code:00650-1094
Mailing Address - Country:US
Mailing Address - Phone:787-549-1152
Mailing Address - Fax:
Practice Address - Street 1:CALLE GUARAGUAO E-1
Practice Address - Street 2:URB. HACIENDA LA MONSERRATE
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-6508
Practice Address - Country:US
Practice Address - Phone:787-549-1152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7838103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist