Individual
JACKELINE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PMB 725 BOX 4960, CAGUAS, PR 00617
(787) 970-8106
(787) 970-8115
Mailing address
1413 CARR 2, BARCELONETA, PR 00617-3141
(787) 970-8106
(787) 970-8115
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1419
PR
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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