Individual
JOMAR ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LND, MLS(ASCP)CM
Contact information
Practice address
232 AVENIDA ELEANOR ROOSEVELT, OFICINA 304, SAN JUAN, PR 00918
(787) 930-5650
Mailing address
200 PARKWEST APT 5, BAYAMON, PR 00961-8365
(787) 930-5650
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2173
PR
246QM0706X
Medical Technologist
6892
PR
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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