1033162367 NPI number — DR. OSCAR GARCIA ORTIZ MD

Table of content: DR. OSCAR GARCIA ORTIZ MD (NPI 1033162367)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033162367 NPI number — DR. OSCAR GARCIA ORTIZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GARCIA ORTIZ
Provider First Name:
OSCAR
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GARCIA ORTIZ
Provider Other First Name:
OSCAR
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1033162367
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/31/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CALLE LUIS MUNOZ RIVERA #6 B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VEGA ALTA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00692
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-485-2513
Provider Business Mailing Address Fax Number:
787-870-6537

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE LUIS MUNOZ RIVERA #6 B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VEGA ALTA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00692-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-485-2513
Provider Business Practice Location Address Fax Number:
787-870-6537
Provider Enumeration Date:
05/18/2006

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: 207Q00000X , with the licence number:  14865 , 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)

  • Identifier: 825460 . This is a "MEDICARE Y MUCHO MAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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