Individual provider Active NPI

Nadynem N Ortiz Ortiz, BA

  • Social Worker
  • Bayamon, PR
National Provider Identifier
1093478299
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10392 Issued in PR
Practice address
Carretera 872 KM 0.9
Rio Plantation
Bayamon, PR 00958
Phone
(787) 787-6105
NPI assigned
Oct 15, 2021
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10392 PR Primary

Addresses

Primary practice location

Carretera 872 KM 0.9
Rio Plantation
Bayamon, PR 00958

Mailing address

Parcelas Hill Brothers
359 Calle 4
San Juan, PR 00924-3903
Phone (787) 244-2309

Other identifiers 1

IdentifierTypeStateIssuer
10392OtherPRTRABAJO SOCIAL

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
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
10392PRMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1093478299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARCELAS HILL BROTHERS",
            "address_2": "359 CALLE 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243903",
            "telephone_number": "787-244-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 872 KM 0.9",
            "address_2": "RIO PLANTATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00958",
            "telephone_number": "787-787-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ ORTIZ",
        "first_name": "NADYNEM",
        "middle_name": "N",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "10392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRABAJO SOCIAL",
            "identifier": "10392",
            "state": "PR"
        }
    ],
    "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 Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.