Individual provider Active NPI

Enid Magaly Ortiz, D.M.D.

  • General Practice Dentistry
  • Cidra, PR
National Provider Identifier
1720124720
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2202 Issued in PR
Practice address
Carr 734 KM .5 Bo Arenas
Cidra, PR 00739
Phone
(787) 714-1140
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2202 PR
General Practice Dentistry 1223G0001X 2202 PR Primary

Addresses

Primary practice location

Carr 734 KM .5 Bo Arenas
Cidra, PR 00739

Mailing address

PO Box 5508
Caguas, PR 00726-5508
Phone (787) 714-1140

Other practice location 1

6 Calle Corchado
Caguas, PR 00725-3518
Phone (787) 258-4560

Other identifiers 1

IdentifierTypeStateIssuer
2202OtherPRDENTIST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dentistaortiz@yahoo.com Direct

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

LicenseStateTypeSpecialty
2202PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1720124720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5508",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007265508",
            "telephone_number": "787-714-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 734 KM .5 BO ARENAS",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-714-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Calle Corchado",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007253518",
            "country_code": "US",
            "telephone_number": "787-258-4560",
            "fax_number": "787-258-4560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ENID",
        "middle_name": "MAGALY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2202",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "2202",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dentistaortiz@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "administrative email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "carr 734 Km .5 Bo Arenas",
            "city": "Cidra",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.