Individual
DR. NICOLE AGIS-ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
715 AVE PONCE DE LEON STOP 37.5, HATO REY, PR 00917-5032
(787) 758-2000
Mailing address
715 AVE PONCE DE LEON, HATO REY, PR 00917-5032
(787) 758-2000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
023457
PR
390200000X
Student in an Organized Health Care Education/Training Program
16115-I
PR
Other
Enumeration date
05/18/2022
Last updated
08/15/2023
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