Individual provider · Type 1 NPI

Fredrick Jaimie Bortz, MD

Student in an Organized Health Care Education/Training Program · Hato Rey, PR

NPI number 1255268504 Active

Practice location

715 Ave Ponce De Leon
Hato Rey, PR 00917-5032

Mailing address

1662 Calle 24 SW
San Juan, PR 00921-1225

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255268504

Fredrick Jaimie Bortz, MD's National Provider Identifier is 1255268504, issued on May 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hato Rey, PR. The record was last updated on May 8, 2026.