Moh Peds Oto CSP

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MOH PEDS OTO CSP

Practice address

252 Calle San Jorge Ste 501
San Jorge Medical Building
San Juan, PR 00912-3241

Phone

(787) 268-2300

Fax

(787) 268-3055

NPI assigned

Nov 28, 2012

Last updated

Nov 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Ortiz Hernandez, MDNPI 1770780629

Title

President

Phone

(787) 268-2300

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Melissa Ortiz-Hernandez, M.D.

  • Pediatric Otolaryngology Physician
  • Santurce, PR
  • NPI 1770780629
  Authorized official Same address or phone

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1922343144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362707",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362707",
            "telephone_number": "787-268-2300",
            "fax_number": "787-268-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JORGE STE 501",
            "address_2": "SAN JORGE MEDICAL BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123241",
            "telephone_number": "787-268-2300",
            "fax_number": "787-268-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOH PEDS OTO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "ORTIZ HERNANDEZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-268-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MMT Medical Supply Corp.
• MMT Medical Supply Corp.
• Veda Leonor Mockford, LMT
• Modern Cardiology Associates
• Modern Radiology, PSC
• Stephanie Mojena Rodriguez, PSYD
• Yoliann Mojica Algarin, MS
• Paola Mojica Claudio
• Vladimir Mojica Diaz
• Argenys Mojica Gomez

• Specialist in San Juan, PR
• Providers in San Juan, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.