Individual
ITZAMARIE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
112 SECT MONROIG, ARECIBO, PR 00612-6604
(787) 615-0189
Mailing address
112 SECT MONROIG, ARECIBO, PR 00612-6604
(787) 615-0189
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7035
PR
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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