1841331733 NPI number — MRS. VERONICA ORTIZ RODRIGUEZ M.D.

Table of content: MRS. VERONICA ORTIZ RODRIGUEZ M.D. (NPI 1841331733)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841331733 NPI number — MRS. VERONICA ORTIZ RODRIGUEZ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORTIZ RODRIGUEZ
Provider First Name:
VERONICA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ORTIZ RODRIGUEZ
Provider Other First Name:
VERONICA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1841331733
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/28/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7128
Provider Second Line Business Mailing Address:
MIGRANT HEALTH CENTER INC
Provider Business Mailing Address City Name:
MAYAGUEZ
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00681-7128
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-805-2900
Provider Business Mailing Address Fax Number:
787-834-1924

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MIGRANT HEALTH CENTER, INC
Provider Second Line Business Practice Location Address:
CARR 101 KM 7.1 BO PALMAREJO
Provider Business Practice Location Address City Name:
LAJAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00667
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-808-0897
Provider Business Practice Location Address Fax Number:
787-808-1420
Provider Enumeration Date:
02/12/2007

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: 208D00000X , with the licence number:  11219 , 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)





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