Organization
CONSULTORIO OTO CCC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME LUIS ORTIZ ROSARIO (MEDICO)
(787) 844-5121
Entity
Organization
Contact information
Practice address
AVE TORRE SAN CRISTOBAL, SUITE 205 A, COTO LAUREL, PR 00780
(787) 844-5121
(787) 842-5796
Mailing address
PO BOX 1435, JUANA DIAZ, PR 00795-1435
(787) 844-5121
(787) 842-5796
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9602
PR
Other
Enumeration date
10/17/2006
Last updated
10/03/2012
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