# HUMBERTO JESUS LEZCANO ORTIZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609022862
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 023919 | PR | — |
| 208D00000X | General Practice Physician | ACN1637 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 16520-I | PR | — |

## Other

- **Enumeration date:** 08/07/2008
- **Last updated:** 07/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 07-231 | SURGICAL ASSISTANT | FL |