Individual
IVAN JOSE ORTIZ COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR. PR 21 INT. PR 18 BO. MONACILLO URBANO, SAN JUAN, PR 00927
(787) 936-1477
Mailing address
HC 3 BOX 8225, BARRANQUITAS, PR 00794-8645
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23405
PR
Other
Enumeration date
04/05/2022
Last updated
04/11/2024
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