Rosario Ortiz Pedrogo, RN, BSN

Primary specialty

Hemodialysis Registered NurseTaxonomy code 163WH0500X

License

012619 Issued in PR

Practice address

Tito Castro Avenue 14 Suite 102
Hospital San Lucas 2
Ponce, PR 00731-0000

Phone

(787) 710-2532

Fax

(787) 750-2830

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1295098507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TITI CASTRO AVENUE 14 SUITE 102",
            "address_2": "HOSPITAL SAN LUCAS 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007310000",
            "telephone_number": "787-710-2532",
            "fax_number": "787-750-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TITO CASTRO AVENUE 14 SUITE 102",
            "address_2": "HOSPITAL SAN LUCAS 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007310000",
            "telephone_number": "787-710-2532",
            "fax_number": "787-750-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ PEDROGO",
        "first_name": "ROSARIO",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "012619",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "PR",
            "license": "012619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "012619",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ortiz Optometric Care
• Lorimar Ortiz Ortiz, M.D.
• Joan Ortiz Padilla, MD
• Fabiola Sofia Ortiz Pagan
• Ketty Lorraine Ortiz Pagan, PHARMD
• Natalia Marie Ortiz Perez
• Gabriela Nichole Ortiz Quinones
• Joel Alberto Ortiz Ramos
• Julia Ortiz Rangel, M.D.
• Edgardo Raul Ortiz Rivera, MD

• Registered Nurse in Ponce, PR
• Providers in Ponce, PR by specialty
• Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.