Individual
MR. FERNANDO ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED SOCIAL WORK
Contact information
Practice address
85 CALLE C, VEGA BAJA, PR 00693-4230
(787) 345-0459
Mailing address
85 CALLE C, VEGA BAJA, PR 00693-4230
(178) 734-5045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15354
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08113425
—
PR
Enumeration date
10/20/2021
Last updated
10/20/2021
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