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Individual
MRS. ROSARIO ORTIZ PEDROGO
Active
Individual
MRS. ROSARIO ORTIZ PEDROGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
012619
PR
163WH0500X
Hemodialysis Registered Nurse
Primary
012619
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012619
LICENSE
PR
Enumeration date
06/21/2012
Last updated
06/21/2012
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