Provider Demographics
NPI:1801887617
Name:ORTIZ PIETRI, RAFAEL (MD)
Entity type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:
Last Name:ORTIZ PIETRI
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 800
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00986-0800
Mailing Address - Country:US
Mailing Address - Phone:787-776-3840
Mailing Address - Fax:787-761-0613
Practice Address - Street 1:CAR 857 KM 0.4 BARRIO CANOVANILLAS
Practice Address - Street 2:POLICLINICA DR. SALVADORE RIBOT RUIZ INC.,
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00986-0800
Practice Address - Country:US
Practice Address - Phone:787-776-3840
Practice Address - Fax:787-761-0613
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-01
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR005526207R00000X
PR5526207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine