NPIMap

Organization Active NPI

Sociedad Ortiz-Annexy Gastroenterologia

  • Gastroenterology Physician
  • Manati, PR
National Provider Identifier
1861530495
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SOCIEDAD ORTIZ-ANNEXY GASTROENTEROLOGIA
Practice address
A4 Calle Marginal
Manati, PR 00674-4903
Phone
(787) 884-5368
Fax
(787) 884-0881
NPI assigned
Feb 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wanda Ortiz, MD
Title
Partner
Phone
(787) 884-5368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

A4 Calle Marginal
Manati, PR 00674-4903

Mailing address

PO Box 1036
Manati, PR 00674-1036
Phone (787) 884-5368

Other identifiers 2

IdentifierTypeStateIssuer
4270OtherPAIMC PROV. NUMBER
83925SOOtherPRTRIPLE S PROV. NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861530495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1036",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741036",
            "telephone_number": "787-884-5368",
            "fax_number": "787-884-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A4 CALLE MARGINAL",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744903",
            "telephone_number": "787-884-5368",
            "fax_number": "787-884-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIEDAD ORTIZ-ANNEXY GASTROENTEROLOGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "787-884-5368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC PROV. NUMBER",
            "identifier": "4270",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S PROV. NUMBER",
            "identifier": "83925SO",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.