Individual
MR. JORGE M ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
W16 CALLE ONIX, VALLE DE CERRO GORDO, BAYAMON, PR 00957-6865
(787) 478-2692
Mailing address
PO BOX 2118, BAYAMON, PR 00960-2118
(787) 478-2692
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9915
PR
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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