Individual
KYLE JARED ORTIZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 W 16TH ST # GH5100, INDIANAPOLIS, IN 46202-2207
(317) 963-8145
Mailing address
HC-2 BOX 2267, BOQUERON, PR 00622
(787) 538-2750
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
06/14/2021
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