Provider Demographics
NPI:1912959800
Name:ORTIZ-RODRIGUEZ, SARAH RUBI (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:RUBI
Last Name:ORTIZ-RODRIGUEZ
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 1:75 CALLE PLAYERA
Mailing Address - Street 2:URB ESTANCIAS DEL PARRA
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-1966
Mailing Address - Country:US
Mailing Address - Phone:787-383-8014
Mailing Address - Fax:
Practice Address - Street 1:MUNOZ RIVERA 108
Practice Address - Street 2:SOUTH WEST HEALTH CORP
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-0000
Practice Address - Country:US
Practice Address - Phone:787-851-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16074208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice