Individual
RAUL D ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 CALLE BALDORIOTY STE 3, COAMO, PR 00769-3120
(787) 825-0222
Mailing address
43 CALLE BALDORIOTY STE 3, COAMO, PR 00769-3120
(787) 825-0222
(787) 471-7358
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3399
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039246900
—
PR
Enumeration date
04/11/2021
Last updated
12/21/2022
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