Active NPI
Lourdes T Ortiz
- Long Term Care Hospital
- San Antonio, TX
National Provider Identifier
1689063679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 009252
- Practice address
- 5806 Providence Oak
San Antonio, TX 78249-4878 - Phone
- (787) 241-0728
- NPI assigned
- Jan 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 009252 | PR | Primary |
Addresses
Primary practice location
5806 Providence Oak
San Antonio, TX 78249-4878
Mailing address
PO Box 57
Canovanas, PR 00729-0057
Phone (787) 241-0728
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009252 | PR | MD | Long Term Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1689063679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007290057",
"telephone_number": "787-241-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5806 PROVIDENCE OAK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782494878",
"telephone_number": "787-241-0728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "LOURDES",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-14",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "PR",
"license": "009252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.