Individual
AMANDA ORTIZ SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BO. COTTO NORTE URB. VILLA MARIA B-4, MANATI, PR 00674-0067
(787) 915-3000
Mailing address
PO BOX 140053, ARECIBO, PR 00614-0053
(787) 915-3000
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6716
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6716029
DRIVERS LICENSE
PR
Enumeration date
01/24/2022
Last updated
01/24/2022
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