Provider Demographics
NPI:1396925434
Name:ORTIZ-ARROYO, ALBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:
Last Name:ORTIZ-ARROYO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ALBERTO
Other - Middle Name:
Other - Last Name:ORTIZ-ARROYO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-0085
Mailing Address - Country:US
Mailing Address - Phone:787-463-6992
Mailing Address - Fax:
Practice Address - Street 1:326 CALLE JESUS RAMOS
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-4576
Practice Address - Country:US
Practice Address - Phone:787-463-6992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR017472207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR038732800Medicaid
FL14JV8OtherBCBS
FL14JV8OtherBCBS