Individual
GLADYS DEL CARMEN ORTIZ PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44 CALLE RIUS RIVERA, CABO ROJO, PR 00623-3437
(787) 851-0165
(787) 851-0165
Mailing address
PO BOX 593, CABO ROJO, PR 00623-0593
(787) 851-0165
(787) 851-0165
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7911
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124017215
NPI
PR
Enumeration date
10/20/2005
Last updated
12/21/2012
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