Active NPI
Alfredo Ortiz
- Pharmacist
- Caguas, PR
National Provider Identifier
1922474642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4935
- Practice address
- 2449 Ave Rafael Cordero 301
Caguas Walmart Supercenter
Caguas, PR 00725 - Phone
- (787) 286-8463
- NPI assigned
- Aug 17, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4935 | PR | Primary |
Addresses
Primary practice location
2449 Ave Rafael Cordero 301
Caguas Walmart Supercenter
Caguas, PR 00725
Mailing address
2449 Ave Rafael Cordero 301
Caguas Walmart Supercenter
Caguas, PR 00725
Phone (787) 286-8463
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 |
|---|---|---|---|
| 4935 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1922474642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2449 AVE RAFAEL CORDERO 301",
"address_2": "CAGUAS WALMART SUPERCENTER",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-286-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 AVE RAFAEL CORDERO 301",
"address_2": "CAGUAS WALMART SUPERCENTER",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-286-8463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ALFREDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-17",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.