1033584099 NPI number — IDALINA ORTIZ CASTRO

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033584099 NPI number — IDALINA ORTIZ CASTRO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORTIZ CASTRO
Provider First Name:
IDALINA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033584099
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/02/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CALLE LUZ ESTE Q-9
Provider Second Line Business Mailing Address:
LEVITTOWN
Provider Business Mailing Address City Name:
TOA BAJA
Provider Business Mailing Address State Name:
PUERTO RICO
Provider Business Mailing Address Postal Code:
00949
Provider Business Mailing Address Country Code:
UM
Provider Business Mailing Address Telephone Number:
787-212-3180
Provider Business Mailing Address Fax Number:
787-784-2170

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE LUZ ESTE Q-9
Provider Second Line Business Practice Location Address:
LEVITTOWN
Provider Business Practice Location Address City Name:
TOA BAJA
Provider Business Practice Location Address State Name:
PUERTO RICO
Provider Business Practice Location Address Postal Code:
00949
Provider Business Practice Location Address Country Code:
UM
Provider Business Practice Location Address Telephone Number:
787-212-3180
Provider Business Practice Location Address Fax Number:
787-784-2170
Provider Enumeration Date:
12/02/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  8906 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)