Active NPI
Fernando Ortiz
- Counseling Psychologist
- Mayaguez, PR
National Provider Identifier
1750613493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3610P
- Practice address
- 8 Calle Ramos Antonini
Suite 205
Mayaguez, PR 00680-4931 - Phone
- (787) 265-6644
- NPI assigned
- Feb 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 3610 | PR | |
| Counseling Psychologist | 103TC1900X | 3610P | PR | Primary |
Addresses
Primary practice location
8 Calle Ramos Antonini
Suite 205
Mayaguez, PR 00680-4931
Mailing address
8 Calle Ramos Antonini
Suite 205
Mayaguez, PR 00680-4931
Phone (787) 265-6644
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 |
|---|---|---|---|
| 3610 | PR | MD | Addiction (Substance Use Disorder) Psychologist |
| 3610P | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1750613493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CALLE RAMOS ANTONINI",
"address_2": "SUITE 205",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804931",
"telephone_number": "787-265-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CALLE RAMOS ANTONINI",
"address_2": "SUITE 205",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804931",
"telephone_number": "787-265-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "FERNANDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-05",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "PR",
"license": "3610",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "3610P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.