Active NPIIndividual provider

Kelvin R Ortiz Gutierrez, 714-PA

Physician Assistant in Bayamon, Puerto Rico

NPI Number1245043504
Practice location
Ave. Betances, Jk-14, Bayamon, PR 00959
Fax
787-778-5353
Last updated
January 30, 2025

Kelvin Roberto Ortiz Gutierrez is a Physician Assistant based in Bayamon, PR. Kelvin Roberto Ortiz Gutierrez practices in Bayamon, PR and has the professional credentials of 714-PA. The NPI Number for Kelvin Roberto Ortiz Gutierrez is 1245043504 and holds a License No. 714-PA (PR). The current practice location address for Kelvin Roberto Ortiz Gutierrez is Ave. Betances, Jk-14, Bayamon, PR 00959 and can be reached out via phone at 787-778-5353 and via fax at 787-778-5353.

Provider Profile Details

NPI Number
1245043504
Provider Name
Kelvin Roberto Ortiz Gutierrez
Credential
714-PA
Provider Entity Type
Individual
Gender
Male
Address
Ave. Betances, Jk-14, Bayamon, PR 00959
Phone Number
787-778-5353
Fax Number
787-778-5353
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
January 30, 2025
Last Update Date
January 30, 2025
Certification Date
January 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Ave. Betances
Jk-14
Bayamon, PR 00959
Zip
00959
Phone Number
787-778-5353
Fax Number
787-778-5353
Bayamon, PR 00959Get directions →

Provider Business Mailing Address Details

Address
Urb. Jardines De Country Club
C-14 Calle 9
Carolina, PR 00983
City
Carolina
State
PR
Zip
00983
Phone Number
787-224-8858

License Information

License Number
714-PA
License State
PR
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelvin R Ortiz Gutierrez, 714-PA?

The NPI number of Kelvin R Ortiz Gutierrez, 714-PA is 1245043504. It was assigned on January 30, 2025 and is currently active in the NPPES registry.

What is the specialty of Kelvin R Ortiz Gutierrez, 714-PA?

Kelvin R Ortiz Gutierrez, 714-PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PR under license number 714-PA.

Where does Kelvin R Ortiz Gutierrez, 714-PA practice?

The practice location is Ave. Betances, Jk-14, Bayamon, PR 00959. The office can be reached at 787-778-5353 (phone) or 787-778-5353 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245043504 directly on the NPPES registry website.

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