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Individual

ILIA NORIS ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
ESTANCIAS DEL GOLF CLUB 776, PONCE, PR 00730-0550
(787) 452-3510
Mailing address
ESTANCIAS DEL GOLF CLUB 776, TITE CURET ST., PONCE, PR 00730-0550
(787) 452-3510

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1200
PR

Other

Enumeration date
02/26/2009
Last updated
02/26/2009
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