Individual provider Active NPI

Grace M. Ortiz, D.M.D.

  • Dentist
  • Coto Laurel, PR
National Provider Identifier
1255395802
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1433 Issued in PR
Practice address
34 Calle Central
Coto Laurel, PR 00780-2112
Phone
(787) 848-3892
Fax
(787) 844-3224
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1433 PR Primary

Addresses

Primary practice location

34 Calle Central
Coto Laurel, PR 00780-2112

Mailing address

PO Box 800512
Coto Laurel, PR 00780-0512
Phone (787) 841-7905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150728003962 PR Order and Referring Only - DentistPractitioner - Dentist 6608180286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1255395802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800512",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800512",
            "telephone_number": "787-841-7905",
            "fax_number": "787-844-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CALLE CENTRAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802112",
            "telephone_number": "787-848-3892",
            "fax_number": "787-844-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "GRACE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

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Verify at the official NPI Registry.