Individual provider Active NPI

Omar Elyth Ortiz

  • Counseling Psychologist
  • Lajas, PR
National Provider Identifier
1639035967
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
008814 Issued in PR
Practice address
94 Calle Mirtos
Lajas, PR 00667-2512
Phone
(787) 518-6638
NPI assigned
Dec 30, 2025
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 008814 PR Primary

Addresses

Primary practice location

94 Calle Mirtos
Lajas, PR 00667-2512

Mailing address

94 Calle Mirtos
Lajas, PR 00667-2512
Phone (787) 518-6638

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": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1639035967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 CALLE MIRTOS",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006672512",
            "telephone_number": "787-518-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 CALLE MIRTOS",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006672512",
            "telephone_number": "787-518-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "OMAR",
        "middle_name": "ELYTH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "008814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.