Individual
DR. LUIS ANTONIO ORTIZ HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARIBBEAN MEDICAL CENTER PONCE BY PASS 2275, SUITE 202, PONCE, PR 00717-0020
(787) 840-1455
(787) 848-4657
Mailing address
PO BOX 335251, PONCE, PR 00733-5251
(787) 362-0722
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
16621
PR
Other
Enumeration date
06/25/2007
Last updated
07/15/2011
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