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Individual

KELVIN ROBERTO ORTIZ GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
714-PA

Contact information

Practice address
AVE. BETANCES, JK-14, BAYAMON, PR 00959
(787) 778-5353
(787) 778-5353
Mailing address
URB. JARDINES DE COUNTRY CLUB, C-14 CALLE 9, CAROLINA, PR 00983
(787) 224-8858

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
714-PA
PR

Other

Enumeration date
01/30/2025
Last updated
01/30/2025
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