Jackeline Ortiz

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1419 Issued in PR

Practice address

PMB 725 Box 4960
Caguas, PR 00617

Phone

(787) 970-8106

Fax

(787) 970-8115

NPI assigned

Jun 25, 2024

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1265277032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 CARR 2",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006173141",
            "telephone_number": "787-970-8106",
            "fax_number": "787-970-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PMB 725 BOX 4960",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-970-8106",
            "fax_number": "787-970-8115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 Carr 2",
            "address_purpose": "LOCATION",
            "city": "Barceloneta",
            "state": "PR",
            "postal_code": "006173141",
            "country_code": "US",
            "telephone_number": "787-970-8106",
            "fax_number": "787-970-8115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JACKELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "1419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esperanza Ortiz, PHARM.D
• Evelyn Ortiz, OPTOMETRIST
• Gisela Ortiz
• Ines Ortiz Ortiz
• Iris Nereida Ortiz, MS
• Jean M Ortiz
• Jose Orlando Ortiz, M.D.
• Kiara Liz Ortiz, BSN, MPH
• Maria De Lourdes Ortiz, MD
• Maria Del Carmen Ortiz, MS PHL

• Optician in Caguas, PR
• Providers in Caguas, PR by specialty
• Optician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.