Individual
AMANDA IVETTE ORTA COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LOS CAOBOS C/GUAYACAN #1691, PONCE, PR 00716
(787) 557-8728
Mailing address
LOS CAOBOS C/GUAYACAN #1691, PONCE, PR 00716
(787) 557-8728
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21961
PR
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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