IndividualActive
Edgardo Ortiz Rivera
NPI 1124279112 · General Practice Physician · Sabana Grande, PR
Provider details
- NPI number
- 1124279112
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 17340 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
35 Calle Angel G Martinez
Sabana Grande, PR 00637-1818
Phone: (787) 955-6784
Mailing address
Bo. Susua Calle Ceiba # 113
Sabana Grande, PR 00637-0000
Registry dates
- Enumerated
- 2008-10-08
- Last updated
- 2009-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.