Active NPI
Jean Carlos Ortiz, PHARMD
- Pharmacist
- Ponce, PR
National Provider Identifier
1942848544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 06266
- Practice address
- Urb. Jardines de Fagot 2500 Calle Obispado
Ponce, PR 00716 - Phone
- (787) 843-8415
- Fax
- (787) 843-8445
- NPI assigned
- Dec 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 06266 | PR | Primary |
Addresses
Primary practice location
Urb. Jardines de Fagot 2500 Calle Obispado
Ponce, PR 00716
Mailing address
Urb. Mansiones Camino Real #163 Calle Castillo Real
Casa 240
Juana Diaz, PR 00795
Phone (787) 605-1942
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06266 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1942848544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. MANSIONES CAMINO REAL #163 CALLE CASTILLO REAL",
"address_2": "CASA 240",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "00795",
"telephone_number": "787-605-1942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. JARDINES DE FAGOT 2500 CALLE OBISPADO",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-843-8415",
"fax_number": "787-843-8445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "JEAN",
"middle_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "PR",
"license": "06266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.