Provider Demographics
NPI:1750386777
Name:ORTEGA COLON, RAMON LUIS (MD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:LUIS
Last Name:ORTEGA COLON
Suffix:
Gender:M
Credentials:MD
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 4377
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-4377
Mailing Address - Country:US
Mailing Address - Phone:787-757-2550
Mailing Address - Fax:787-762-2425
Practice Address - Street 1:MONSERRATE AVE.
Practice Address - Street 2:BA-14 VALLE ARRIBA HEIGHTS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-0000
Practice Address - Country:US
Practice Address - Phone:787-757-2550
Practice Address - Fax:787-762-2425
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4714174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR25714Medicare ID - Type Unspecified
PRE31177Medicare UPIN