Individual
MR. LUIS JAVIER ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
CENTRO SALUD MENTAL MAYAGUEZ, 410 AVE HOSTOS SUITE 7, MAYAGUEZ, PR 00682-1522
(787) 833-0663
(787) 833-1371
Mailing address
URB. EXTENSION ELIZABETH, BUZON 5017, CABO ROJO, PR 00623
(787) 851-3649
(787) 833-1371
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21941
PR
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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