Active NPI
Juan Gabriel Ortiz, PHARMD.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Aguada, PR
National Provider Identifier
1083119036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 6515
- Practice address
- 228 Calle Colon
Aguada, PR 00602-3224 - Phone
- (787) 868-2135
- Fax
- (787) 868-2933
- NPI assigned
- Mar 29, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 6515 | PR | Primary |
Addresses
Primary practice location
228 Calle Colon
Aguada, PR 00602-3224
Mailing address
228 Calle Colon
Aguada, PR 00602-3224
Phone (787) 868-2135
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 Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6515 | PR | MD | Personal Emergency Response Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia Domenech LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Aguada, PR
- NPI 1740261668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1083119036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 CALLE COLON",
"city": "AGUADA",
"state": "PR",
"postal_code": "006023224",
"telephone_number": "787-868-2135",
"fax_number": "787-868-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 CALLE COLON",
"city": "AGUADA",
"state": "PR",
"postal_code": "006023224",
"telephone_number": "787-868-2135",
"fax_number": "787-868-2933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "JUAN",
"middle_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-29",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "PR",
"license": "6515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.