Divine Universe Ortiz

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

79A Utica Ave
Brooklyn, NY 11213-1336

Phone

(917) 536-5765

NPI assigned

Aug 2, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Divine Universe Ortiz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1114609955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79A UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131336",
            "telephone_number": "917-536-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79A UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131336",
            "telephone_number": "917-536-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "DIVINE",
        "middle_name": "UNIVERSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIVINE",
            "last_name": "ORTIZ",
            "middle_name": "UNIVERSE",
            "credential": "CRPA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Aracelly Ortiz
• Beryle Ortiz
• Connie Ortiz
• Daniel Ortiz, L.AC.
• Diego Israel Ortiz, OTR/L
• Elena Maria Ortiz, PA C
• Elizabeth Ortiz
• Erica Ortiz
• Grace Ortiz, N.P.
• Humberto Ortiz

• Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.