Individual provider Active NPI

Ines Ortiz Medina, TRABAJADOR SOCIAL

  • Driver
  • Ponce, PR
National Provider Identifier
1366673758
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
4490845 Issued in PR
Practice address
HC 9 Box 16019
Ponce, PR 00731-9749
Phone
(787) 486-2411
NPI assigned
Aug 3, 2009
Last updated
Aug 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 4490845 PR Primary

Addresses

Primary practice location

HC 9 Box 16019
Ponce, PR 00731-9749

Mailing address

HC 9 Box 16019
Ponce, PR 00731-9749
Phone (787) 486-2411

Other names 1

  • Prof. Ines Ortiz Medina Professional name

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

State licenses

LicenseStateTypeSpecialty
4490845PRMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1366673758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 9 BOX 16019",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007319749",
            "telephone_number": "787-486-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 9 BOX 16019",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007319749",
            "telephone_number": "787-486-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ MEDINA",
        "first_name": "INES",
        "name_prefix": "Prof.",
        "credential": "TRABAJADOR SOCIAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "PR",
            "license": "4490845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INES",
            "last_name": "ORTIZ MEDINA",
            "prefix": "PROF.",
            "credential": "TRABAJADOR SOCIAL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.