Provider Demographics
NPI:1144541384
Name:COLON ORTIZ, NORMA (MD)
Entity type:Individual
Prefix:DR
First Name:NORMA
Middle Name:
Last Name:COLON ORTIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 DORADO BEACH ESTATE
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-2047
Mailing Address - Country:US
Mailing Address - Phone:787-785-6715
Mailing Address - Fax:
Practice Address - Street 1:19 DORADO BCH E
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-2047
Practice Address - Country:US
Practice Address - Phone:787-785-6715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-22
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2471282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2471OtherPEDIATRIC