Active NPI
Efrain Ortiz Rolon Sr.
- School Psychologist
- Trujillo Alto, PR
National Provider Identifier
1912666207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4849
- Practice address
- Carr. 845 Int. 199
Trujillo Alto, PR 00976 - Phone
- (787) 755-6800
- NPI assigned
- Dec 14, 2021
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | |||
| School Psychologist | 103TS0200X | 4849 | PR | Primary |
Addresses
Primary practice location
Carr. 845 Int. 199
Trujillo Alto, PR 00976
Mailing address
PMB 249 PO Box 6400
Cayey, PR 00737-6400
Phone (787) 361-5705
Other names 1
- Efrain Ortiz
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 |
|---|---|---|---|
| 4849 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1912666207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 249 PO BOX 6400",
"city": "CAYEY",
"state": "PR",
"postal_code": "007376400",
"telephone_number": "787-361-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 845 INT. 199",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-755-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ ROLON",
"first_name": "EFRAIN",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-14",
"last_updated": "2021-12-14",
"certification_date": "2021-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "4849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EFRAIN",
"last_name": "ORTIZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.