| Dr. Carlos A. Ortiz Soto | |
|
34b Calle Carbonell Cabo Rojo PR 00623-3546 | |
| (787) 255-0303 | |
| (787) 255-0303 |
| Full Name | Dr. Carlos A. Ortiz Soto |
|---|---|
| Speciality | General Practice |
| Location | 34b Calle Carbonell, Cabo Rojo, Puerto Rico |
| Authorized Official Name and Position | Carlos Antonio Ortiz (PRESIDENT) |
| Authorized Official Contact | 7872550303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Carlos A. Ortiz Soto 34b Calle Carbonell Cabo Rojo PR 00623-3546 Ph: (787) 255-0303 | Dr. Carlos A. Ortiz Soto 34b Calle Carbonell Cabo Rojo PR 00623-3546 Ph: (787) 255-0303 |
| NPI Number | 1386989747 |
|---|---|
| Provider Enumeration Date | 12/11/2012 |
| Last Update Date | 12/11/2012 |
| Medicare PECOS PAC ID | 3072897396 |
|---|---|
| Medicare Enrollment ID | O20170306002345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386989747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Carlos Antonio Ortiz-soto |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659305167 PECOS PAC ID: 8224006887 Enrollment ID: I20040921000978 |
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