Individual provider Active NPI

Juan Enrique Ortiz

  • Pharmacist
  • Bayamon, PR
National Provider Identifier
1881720787
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
001609 Issued in PR
Practice address
3H18 Calle Girasol
Lomas Verdes
Bayamon, PR 00956-3329
Phone
(787) 798-5050
Fax
(787) 740-3904
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 001609 PR Primary

Addresses

Primary practice location

3H18 Calle Girasol
Lomas Verdes
Bayamon, PR 00956-3329

Mailing address

E22 Calle Argentina
Oasis Gardens
Guaynabo, PR 00969-3450
Phone (787) 798-5050

Other identifiers 1

IdentifierTypeStateIssuer
001609OtherPRPHARMACIST

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
001609PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881720787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E22 CALLE ARGENTINA",
            "address_2": "OASIS GARDENS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693450",
            "telephone_number": "787-798-5050",
            "fax_number": "787-740-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3H18 CALLE GIRASOL",
            "address_2": "LOMAS VERDES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009563329",
            "telephone_number": "787-798-5050",
            "fax_number": "787-740-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JUAN",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "001609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "001609",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.