Provider Demographics
NPI:1750580122
Name:MONTALVO ORTIZ, JOCELYN (MD)
Entity type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:
Last Name:MONTALVO ORTIZ
Suffix:
Gender:F
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:URB SABANERA
Mailing Address - Street 2:CAMINO DE LA LOMA 224
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739
Mailing Address - Country:US
Mailing Address - Phone:787-436-2288
Mailing Address - Fax:952-213-4356
Practice Address - Street 1:PLAZA GATSBY SUITE 318
Practice Address - Street 2:CALLE PADIAL # 30
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-436-2288
Practice Address - Fax:952-213-4356
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17569208000000X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics