DAVID JOHN ORTIZ GONZALEZ (NPI# 1669828182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669828182 |
| Entity Type | Individual |
| Full Name | DAVID JOHN ORTIZ GONZALEZ |
| Credential | M.S.W. |
| Practice Address |
269 Calle Ballena Urb Brisas De Mar Chiquita Manati PR 00674 |
| Mailing Address |
Urb Brisas De Mar Chiquita 269 Calle Ballena Manati PUERTO RICO 00674 UM |
| Practice Telephone | 7873404332 |
| Mailing Telephone | 7873404332 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 22193 | PR | Residential Treatment Facilities |
| Street Address |
269 CALLE BALLENA URB BRISAS DE MAR CHIQUITA |
| City | MANATI |
| State | PR |
| Zip Code | 00674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668845 | Marlyne Lopez Pantoja | Psychologist | Urb. Monserrate C/ Golondrina G-2 #504, Manati, PR 00674 | 2020-10-27 |
| 1538768338 | Yaidelise Ayala-villalobos | Speech-Language Pathologist | Bo Cotto Norte Urb Villa Maria B-4, Manati, PR 00674 | 2020-10-22 |
| 1043826142 | Karina Mariel Garcia Collazo | General Practice | Est. Valle Verde #41, Calle Quebrada, Manati, PR 00674 | 2020-09-23 |
| 1184239287 | Xayisnalie Martinez Rodriguez | Student in an Organized Health Care Education/Training Program | Bo San Jose 13 Calle Jaraquemada, Manati, PR 00674 | 2020-09-15 |
| 1114532207 | Professional Nutrition By Lcda. Daina Vega Miranda LLC | Nutritionist | Urb Atenas B-36 Calle Elliot Velez, Manati, PR 00674 | 2020-09-15 |
| 1538774427 | Yomayra Cruz I | Social Worker | The Renal Center of Manati, Carr. 2 Km. 47.7, Manati, PR 00674 | 2020-09-09 |
| 1487268942 | Keila Raquel Alvarado | Social Worker | 208 Calle Gorrion Urb. Hacienda La Monserrate, Manati, PR 00674 | 2020-09-02 |
| 1598374415 | Beyond Care Doctor Group Csp | General Practice | Bo Cotto Norte Carr 670 Km 3.2, Manati, PR 00674 | 2020-07-27 |
| 1295343267 | David Agustin Lopez Rodriguez | General Practice | Calle Hernandez Carrion Urb Atenas Manati, Manati, PR 00674 | 2020-07-16 |
| 1326664160 | Lislie Lisete Gonzalez Veitia | Family Medicine | Manati Medical Center, Calle Hernandez Carrion, Manati, PR 00674 | 2020-06-17 |
| Find all providers in zip 00674 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255749396 | T&c Mental Health Home Service, Inc | Community Based Residential Treatment Facility, Mental Illness | Senderos Del Rio 860, Carr.175 Apt. 1406, San Juan, PR 00926 | 2014-07-31 |
| 1548609688 | Norma I Soto Mendez | Community Based Residential Treatment Facility, Mental Illness | Hc-05 Box 56308, Hatillo, PR 00659 | 2013-06-21 |
| 1356672968 | Consultores Psicologicos Asociados Inc. | Community Based Residential Treatment Facility, Mental Illness | 8 Calle Ramos Antonini, Suite 205 (2do Piso), Mayaguez, PR 00680-4931 | 2010-01-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.