Provider Demographics
NPI:1194132589
Name:CONSULTORIO MEDICO DR. JULIO SANTORY ORTIZ CSP
Entity type:Organization
Organization Name:CONSULTORIO MEDICO DR. JULIO SANTORY ORTIZ CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTORY-ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-733-3678
Mailing Address - Street 1:PO BOX 1454
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-1454
Mailing Address - Country:US
Mailing Address - Phone:787-733-3678
Mailing Address - Fax:787-716-9566
Practice Address - Street 1:URB. LA INMACULADA CALLE 1 # 103
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-733-3678
Practice Address - Fax:787-733-3678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12699208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty