Active NPIIndividual providerSole proprietor

Dr. Derek I Ortiz, PHD

Psychologist, Clinical in Lajas, Puerto Rico

NPI Number1528789633
Practice location
Piedras Blancas Cam Rodriguez, Sabana Yeguas Carr 101 Km 5.6, Lajas, PR 00667
Fax
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Last updated
October 30, 2024

Derek Israel Ortiz is a Psychologist, Clinical based in Lajas, PR. Derek Israel Ortiz practices in Lajas, PR and has the professional credentials of PHD. The NPI Number for Derek Israel Ortiz is 1528789633 and holds a License No. TPPY2854 (FL). The current practice location address for Derek Israel Ortiz is Piedras Blancas Cam Rodriguez, Sabana Yeguas Carr 101 Km 5.6, Lajas, PR 00667 and can be reached out via phone at 787-519-8942.

Provider Profile Details

NPI Number
1528789633
Provider Name
Derek Israel Ortiz
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
Piedras Blancas Cam Rodriguez, Sabana Yeguas Carr 101 Km 5.6, Lajas, PR 00667
Phone Number
787-519-8942
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 7, 2022
Last Update Date
October 30, 2024
Certification Date
October 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Piedras Blancas Cam Rodriguez
Sabana Yeguas Carr 101 Km 5.6
Lajas, PR 00667
City
Lajas
Zip
00667
Phone Number
787-519-8942
Lajas, PR 00667Get directions →

Provider Business Mailing Address Details

Address
Po Box 3190
Lajas, PR 00667-3190
City
Lajas
State
PR
Zip
00667-3190
Phone Number
305-833-6625

License Information

License Number (1)
TPPY2854
License State (1)
FL
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
007404
License State (2)
PR
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · 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 Dr. Derek I Ortiz, PHD?

The NPI number of Dr. Derek I Ortiz, PHD is 1528789633. It was assigned on September 7, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Derek I Ortiz, PHD?

Dr. Derek I Ortiz, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in FL under license number TPPY2854.

Where does Dr. Derek I Ortiz, PHD practice?

The practice location is Piedras Blancas Cam Rodriguez, Sabana Yeguas Carr 101 Km 5.6, Lajas, PR 00667. The office can be reached at 787-519-8942 (phone).

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 1528789633 directly on the NPPES registry website.

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