Active NPI
Carla J Ortiz
- Clinical Psychologist
- Carolina, PR
National Provider Identifier
1164737474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0005221
- Practice address
- 3919 Isla Verde Avenue
Cond. Reef Apt 3-Ftower
Carolina, PR 00979-6716 - Phone
- (787) 216-3156
- NPI assigned
- Aug 11, 2010
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0005221 | PR | Primary |
Addresses
Primary practice location
3919 Isla Verde Avenue
Cond. Reef Apt 3-Ftower
Carolina, PR 00979-6716
Mailing address
132-13 Villa Carolina
Ave. Roberto Clemente
Carolina, PR 00985-7329
Phone (787) 216-3156
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0005221 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1164737474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132-13 VILLA CAROLINA",
"address_2": "AVE. ROBERTO CLEMENTE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009857329",
"telephone_number": "787-216-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 ISLA VERDE AVENUE",
"address_2": "COND. REEF APT 3-FTOWER",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009796716",
"telephone_number": "787-216-3156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "CARLA",
"middle_name": "J",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "0005221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.