Luis E Ortiz Archilla, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2223 Issued in PR

Practice address

1482 F.D. Roosevelt Ave.
Building 3 Ste. 6
San Juan, PR 00920

Phone

(787) 370-3073

Fax

(787) 781-8389

NPI assigned

Jan 2, 2007

Last updated

Mar 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1689731770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365011",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365011",
            "telephone_number": "787-370-3073",
            "fax_number": "787-781-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 F.D. ROOSEVELT AVE.",
            "address_2": "BUILDING 3 STE. 6",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00920",
            "telephone_number": "787-370-3073",
            "fax_number": "787-781-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ ARCHILLA",
        "first_name": "LUIS",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthocare LLC
• Orthopaedic Hand and Upper Extremity PSC
• Orthospine Group PSC
• Jose Francisco Ortiz Acevedo Sr., M.D.
• Omayra Marisol Ortiz Alicea
• Keyla Ortiz Arroyo, LND
• Luis Guillermo Ortiz Aviles
• Carlos David Ortiz Babilonia
• Adrian Ortiz Benitez, MD
• Natalia Maria Ortiz Berrios

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.