Individual
MRS. LIZVETTE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTIST
Contact information
Practice address
CARRETERA 100 KM 5.8 INT #2300, BARRIO MIRADERO, CABO ROJO, PR 00623
(787) 255-0065
(787) 255-0065
Mailing address
PO BOX 930, CABO ROJO, PR 00623-0930
(787) 255-0065
(787) 255-0065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2476
PR
Other
Enumeration date
10/06/2006
Last updated
08/13/2020
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