Active NPI
Christopher Eusebio Ortiz
- Student in an Organized Health Care Education/Training Program
- Guaynabo, PR
National Provider Identifier
1366192155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- School of Medicine
University of Puerto Rico, Medical Sciences Campus
Guaynabo, PR 00936-5067 - Phone
- (787) 754-0101
- NPI assigned
- Mar 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
School of Medicine
University of Puerto Rico, Medical Sciences Campus
Guaynabo, PR 00936-5067
Mailing address
School of Medicine
University of Puerto Rico, Medical Sciences Campus
San Juan, PR 00936-5967
Phone (787) 754-0101
Other practice location 1
Reparto metropolitano Calle 53SE
No 866 Apt 6
San Juan, PR 00921
Phone (787) 632-2487
Other practice location 2
Bo Monacillos Carr No 22 Rio Piedras
San Juan, PR 00922-2129
Phone (787) 777-3535
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1366192155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SCHOOL OF MEDICINE",
"address_2": "UNIVERSITY OF PUERTO RICO, MEDICAL SCIENCES CAMPUS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009365967",
"telephone_number": "787-754-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SCHOOL OF MEDICINE",
"address_2": "UNIVERSITY OF PUERTO RICO, MEDICAL SCIENCES CAMPUS",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009365067",
"telephone_number": "787-754-0101"
}
],
"practiceLocations": [
{
"address_1": "Reparto metropolitano Calle 53SE",
"address_2": "No 866 Apt 6",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00921",
"country_code": "US",
"telephone_number": "787-632-2487",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "BO MONACILLOS CARR NO 22 RIO PIEDRAS",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009222129",
"country_code": "US",
"telephone_number": "787-777-3535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EUSEBIO ORTIZ",
"first_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-25",
"last_updated": "2024-07-03",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.