Active NPI
Wandy Ortiz, MD
- Student in an Organized Health Care Education/Training Program
- Bayamon, PR
National Provider Identifier
1013722842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 17155-I
- Practice address
- Auxilio Mutuo San Pablo
Calle Sta Cruz Urb # 70
Bayamon, PR 00956 - Phone
- (787) 620-4747
- NPI assigned
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 17155-I | PR | Primary |
Addresses
Primary practice location
Auxilio Mutuo San Pablo
Calle Sta Cruz Urb # 70
Bayamon, PR 00956
Mailing address
PMB 735 Luis Vigoreuaux Ave 1353
Guaynabo, PR 00966
Phone (787) 439-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17155-I | PR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1013722842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 735 LUIS VIGOREUAUX AVE 1353",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00966",
"telephone_number": "787-439-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AUXILIO MUTUO SAN PABLO",
"address_2": "CALLE STA CRUZ URB # 70",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-620-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "WANDY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-10",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "17155-I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.