Angel Ortiz, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

Torre Auxilio Mutuo Suite #715
San Juan, PR 00917-0091

Phone

(787) 250-0124

NPI assigned

Sep 19, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1336861004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "IF21 CALLE CRUZ DE MALTA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009563107",
            "telephone_number": "787-478-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE AUXILIO MUTUO SUITE #715",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009170091",
            "telephone_number": "787-250-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ANGEL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "IMCA",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "TORRE AUXILIO MUTUO suite #715",
            "city": "SAN JUAN",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009170091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abraham Ortiz, M.D.
• Alicia M. Ortiz, MD
• Amanda M. Ortiz
• Ana N Ortiz
• Ana Sofia Ortiz
• Angel Luis Ortiz, R.T.
• Anibal J Ortiz Sr.
• Arturo A Ortiz, M.D.
• Awilda Ortiz, R.D.,MPH
• Carla Ortiz

• Medical Physician Assistant in San Juan, PR
• Providers in San Juan, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.