Individual
MRS. ROSARIO ORTIZ PEDROGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
TITO CASTRO AVENUE 14 SUITE 102, HOSPITAL SAN LUCAS 2, PONCE, PR 00731-0000
(787) 710-2532
(787) 750-2830
Mailing address
TITI CASTRO AVENUE 14 SUITE 102, HOSPITAL SAN LUCAS 2, PONCE, PR 00731-0000
(787) 710-2532
(787) 750-2830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
012619
PR
163WH0500X
Hemodialysis Registered Nurse
Primary
012619
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012619
LICENSE
PR
Enumeration date
06/21/2012
Last updated
06/21/2012
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