Individual provider Active NPI

Waleska Pillich Ortiz, CRNA

  • Certified Registered Nurse Anesthetist
  • Levittown, PR
National Provider Identifier
1346569696
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9309002 Issued in FL
Practice address
Calle 2 Aa#20 Almira
Levittown, PR 00949-4007
Phone
(787) 923-1023
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9309002 FL Primary
Certified Registered Nurse Anesthetist 367500000X 1539 PR

Addresses

Primary practice location

Calle 2 Aa#20 Almira
Levittown, PR 00949-4007

Mailing address

2346 Bellarosa Cir
Royal Palm Beach, FL 33411-1468
Phone (551) 291-2703

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9309002FLMDCertified Registered Nurse Anesthetist
1539PRMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1346569696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 BELLAROSA CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111468",
            "telephone_number": "551-291-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 2 AA#20 ALMIRA",
            "city": "LEVITTOWN",
            "state": "PR",
            "postal_code": "009494007",
            "telephone_number": "787-923-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLICH ORTIZ",
        "first_name": "WALESKA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9309002",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "1539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.