Provider Demographics
NPI:1407011083
Name:RIVERA-ORTIZ, FELIX NOEL (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:NOEL
Last Name:RIVERA-ORTIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 5283
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-9775
Mailing Address - Country:US
Mailing Address - Phone:787-502-3392
Mailing Address - Fax:
Practice Address - Street 1:BARRIO LLANOS CARRETERA
Practice Address - Street 2:KM 5.2
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-502-3392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17238208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice