Organization
ORTIZ OPTOMETRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ORTIZ MELENDEZ OD (PRESIDENT / OPTOMETRIST)
(787) 412-7822
Entity
Organization
Contact information
Practice address
8169 CALLE CONCORDIA, CONDOMINIO SAN VICENTE OFICINA 204, PONCE, PR 00731
(787) 412-7822
Mailing address
PO BOX 303, MERCEDITA, PR 00715-0303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
684/0255
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962786038
NPI
PR
01
—
GQ573A
PTAN
PR
Enumeration date
02/10/2016
Last updated
01/18/2019
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