Provider Demographics
NPI:1740097401
Name:ORTIZ FELIX, JORGE LUIS (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:LUIS
Last Name:ORTIZ FELIX
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 12689
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-9779
Mailing Address - Country:US
Mailing Address - Phone:787-478-4153
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 12689
Practice Address - Street 2:
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767-9779
Practice Address - Country:US
Practice Address - Phone:787-478-4153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR83364163W00000X, 163WI0600X
PR5438363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control