Individual
GRISSELLE ENID ORTIZ RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CARR #2 REPARTO CURIEL PARK HILL APT 1, MANATI, PR 00674
(787) 477-9330
Mailing address
PO BOX 36, CIALES, PR 00638-0036
(787) 477-9330
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15555
PR
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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