Provider Demographics
NPI:1720825888
Name:NYORTIZ, LLC
Entity type:Organization
Organization Name:NYORTIZ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NYRMA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ORTIZ-VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-408-4092
Mailing Address - Street 1:370 URB. ANDREA'S COURT
Mailing Address - Street 2:CALLE 10 APT 79
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-408-4092
Mailing Address - Fax:
Practice Address - Street 1:CALLE JANELE D15
Practice Address - Street 2:URB. ANDREA'S COURT
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-408-4092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty