Mirza I Ortiz Torres, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

12367 Issued in PR

Practice address

410 Calle Mendez Vigo
Suite 208
Dorado, PR 00646-4800

Phone

(787) 796-6682

Fax

(787) 796-6041

NPI assigned

Feb 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1528031184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CALLE MENDEZ VIGO",
            "address_2": "SUITE 208",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464800",
            "telephone_number": "787-796-6682",
            "fax_number": "787-796-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CALLE MENDEZ VIGO",
            "address_2": "SUITE 208",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464800",
            "telephone_number": "787-796-6682",
            "fax_number": "787-796-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ TORRES",
        "first_name": "MIRZA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "12367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscila Ortega Vazquez
• Kineisha J Ortega, OTA/L
• Ashleymarie Ortiz Cintron
• Alexandra Marie Ortiz Javier, DMD
• Evans Jayson Ortiz Santana, MD
• Jesus Ortiz
• Sharon Lisbette Ortiz, PHD CPL
• Gilbert Otero Giboyeaux, M.S.
• Moises A. Otero Soto, M.D.
• Elsa Iris Otero, M.A., O.D.

• Pediatrics Physician in Dorado, PR
• Providers in Dorado, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.