Individual
MS. MARISOL RIVERA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6171 DUNSMORE CANYON LN, PORTER, TX 77365-7189
(863) 263-5145
Mailing address
6171 DUNSMORE CANYON LN, PORTER, TX 77365-7189
(863) 263-5145
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
9521298
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9521298
—
FL
Enumeration date
03/03/2023
Last updated
03/03/2023
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