Individual
PETER JOSEPH ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
SAN JUAN MEDICAL CENTER, RIO PIEDAS STATE PSYQUIATRIC HOSPITAL, SAN JUAN, PR 00922-2100
(787) 766-4646
Mailing address
PO BOX 70344, PMB 343, SAN JUAN, PR 00936-8344
(787) 269-6359
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
465
PR
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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