Provider Demographics
NPI:1669957528
Name:DR. JOSE L. ORTEGA, HEMATOLOGY AND ONCOLOGY GROUP PSC
Entity type:Organization
Organization Name:DR. JOSE L. ORTEGA, HEMATOLOGY AND ONCOLOGY GROUP PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-312-2985
Mailing Address - Street 1:DR JOSE LUIS ORTEGA SANCHEZ
Mailing Address - Street 2:1353 AVENIDA LUIS VIGOREAUX PMB 178
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-722-9030
Mailing Address - Fax:787-722-9049
Practice Address - Street 1:AE1101 LA VILLA GARDEN APT
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971
Practice Address - Country:US
Practice Address - Phone:787-722-9030
Practice Address - Fax:787-722-9049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2018-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion TherapyGroup - Single Specialty