Provider Demographics
NPI:1356784771
Name:ORTEGA-CAVA, CESAR (MD)
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:
Last Name:ORTEGA-CAVA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CESAR FRANCISCO
Other - Middle Name:
Other - Last Name:ORTEGA CAVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:100 CARR 842 APT 506
Mailing Address - Street 2:COND ALTOMONTE BOX42
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-9624
Mailing Address - Country:US
Mailing Address - Phone:787-236-7507
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 47.7
Practice Address - Street 2:DOCTORS CENTER HOSPITAL MANATI
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18919207R00000X, 390200000X
PR13143-I208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice