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Individual

FERNANDO ORTIZ MALDONADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
CALLE CELIS AGUILERA NUM 6, ESQ DANIEL FLORES, JUNCOS, PR 00777-0000
(787) 734-0181
(787) 734-0181
Mailing address
PO BOX 1725, JUNCOS, PR 00777-1725
(787) 734-0181

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5647
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0508
FIRST MEDICAL
PR
01
065643
CRUZ AZUL DE PUERTO RICO
PR
01
27264
TRIPLE S
PR
01
3902
PREFERRED MEDICARE CHOICE
PR
01
6660014
HUMANA HEALTH PLAN
PR
Enumeration date
05/26/2006
Last updated
07/18/2017
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