Active NPI
Wanda I Ortiz
- Pharmacist
- Vega Baja, PR
National Provider Identifier
1962797951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4353
- Practice address
- 5745 Calle Ortiz
Vega Baja, PR 00693-9832 - Phone
- (787) 855-3044
- Fax
- (787) 855-3301
- NPI assigned
- Jun 17, 2011
- Sex
- Female
- 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 | 4353 | PR | Primary |
Addresses
Primary practice location
5745 Calle Ortiz
Vega Baja, PR 00693-9832
Mailing address
5745 Calle Ortiz
Vega Baja, PR 00693-9832
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 |
|---|---|---|---|
| 4353 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1962797951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5745 CALLE ORTIZ",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006939832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5745 CALLE ORTIZ",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006939832",
"telephone_number": "787-855-3044",
"fax_number": "787-855-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "WANDA",
"middle_name": "I",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-17",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.