Organization
AYALA ORTA MEDICAL SERVICE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA ORTA CARDONA (PROPIETARIA)
(787) 827-2433
Entity
Organization
Contact information
Practice address
81 AVE MATIAS BRUGMAN, LAS MARIAS, PR 00670-2008
(787) 827-2433
Mailing address
PO BOX 6431, MAYAGUEZ, PR 00681-6431
(787) 827-2433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10028W
MMM
PR
01
—
2909
PMC
PR
Enumeration date
10/13/2006
Last updated
08/06/2012
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