David John Ortiz Gonzalez, M.S.W.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

22193 Issued in PR

Practice address

269 Calle Ballena
Urb Brisas de Mar Chiquita
Manati, PR 00674

Phone

(787) 340-4332

NPI assigned

May 13, 2016

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1669828182",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "URB BRISAS DE MAR CHIQUITA",
            "address_2": "269 CALLE BALLENA",
            "city": "MANATI",
            "state": "PUERTO RICO",
            "postal_code": "00674",
            "telephone_number": "787-340-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 CALLE BALLENA",
            "address_2": "URB BRISAS DE MAR CHIQUITA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-340-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ GONZALEZ",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "PR",
            "license": "22193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose L Ortiz Colon, MD
• Wilson Ortiz Cotti, M.D.
• Brenda Ortiz Crespo, PHYSICAL THERAPIS
• Yinamari Ortiz Diaz, MD
• Nancy S Ortiz Garcia, SLP
• Elsie M Ortiz Goveo, M.D.
• Wanda E Ortiz Muniz, MD
• Brenda Ortiz Oliveras
• Ivonne Denise Ortiz Reyes, MD
• Grisselle Enid Ortiz Rivera, MD

• Mental Illness Community Based Residential Treatment Facility in Manati, PR
• Providers in Manati, PR by specialty
• Mental Illness Community Based Residential Treatment Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.