Provider Demographics
NPI:1578678744
Name:SENQUIZ ORTIZ, ANGEL L (MD)
Entity type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:L
Last Name:SENQUIZ ORTIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ANGEL
Other - Middle Name:L
Other - Last Name:SENQUIZ ORTIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1565 CALLE RODANO
Mailing Address - Street 2:EL PARAISO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2927
Mailing Address - Country:US
Mailing Address - Phone:787-607-4192
Mailing Address - Fax:
Practice Address - Street 1:1565 CALLE RODANO
Practice Address - Street 2:EL PARAISO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2927
Practice Address - Country:US
Practice Address - Phone:787-607-4192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5367208000000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice