Individual
MR. ROLANDO J ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
248 LAGUNA GARDENS CENTER, CAROLINA, PR 00979
(787) 253-1531
Mailing address
248 LAGUNA GARDENS CENTER ISLA VERDE, CAROLINA, PR 00979
(787) 253-1531
(787) 253-1531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
608
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3087-5
PROVIDER NUMBER
PR
01
—
4500048
HUMANA PROVIDER NUMBER
PR
01
—
92783
TRIPLE S
PR
Enumeration date
03/13/2007
Last updated
08/21/2012
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