Provider Demographics
NPI:1487614103
Name:ORTIZ, ALMA B (MD)
Entity type:Individual
Prefix:MRS
First Name:ALMA
Middle Name:B
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:165 CALLE AZUCENA
Mailing Address - Street 2:CIUDAD JARDIN
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-2211
Mailing Address - Country:US
Mailing Address - Phone:787-640-6733
Mailing Address - Fax:787-725-5025
Practice Address - Street 1:COND DE DIEGO
Practice Address - Street 2:SUITE 503
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-3001
Practice Address - Country:US
Practice Address - Phone:787-725-7348
Practice Address - Fax:787-725-5025
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR13421207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH45222Medicare UPIN