Individual
DR. EDGARDO ORTIZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 CALLE ANGEL G MARTINEZ, SABANA GRANDE, PR 00637-1818
(787) 955-6784
Mailing address
BO. SUSUA CALLE CEIBA # 113, SABANA GRANDE, PR 00637-0000
(787) 955-6784
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17340
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17340
—
PR
Enumeration date
10/08/2008
Last updated
11/03/2009
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