Provider Demographics
NPI:1285993063
Name:ORTIZ, MARGARITA (MSW)
Entity type:Individual
Prefix:MRS
First Name:MARGARITA
Middle Name:
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. VISTAMAR, ARAGON
Mailing Address - Street 2:206
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983
Mailing Address - Country:US
Mailing Address - Phone:939-644-7786
Mailing Address - Fax:787-257-8806
Practice Address - Street 1:206 CALLE ARAGON
Practice Address - Street 2:URB. VISTAMAR
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-1967
Practice Address - Country:US
Practice Address - Phone:939-644-7786
Practice Address - Fax:787-257-8806
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-14
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR79471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical