Provider Demographics
NPI:1972691715
Name:ORTIZ, FRANCISCO JAVIER (DMD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO JAVIER
Middle Name:
Last Name:ORTIZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:JAVIER
Other - Middle Name:
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:CONDO THE GALAXY
Mailing Address - Street 2:APT 1105
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979
Mailing Address - Country:US
Mailing Address - Phone:787-727-7077
Mailing Address - Fax:787-268-7653
Practice Address - Street 1:29 ISLA VERDE AVE
Practice Address - Street 2:SUITE 2A
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-727-7077
Practice Address - Fax:787-268-7653
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1863122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist