Individual
LOURMARITH ORTIZ CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
715 AVE PONCE DE LEON, SAN JUAN, PR 00917-5032
(787) 758-2000
Mailing address
HC 11 BOX 48140, CAGUAS, PR 00725-9071
(787) 373-1947
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23951
PR
390200000X
Student in an Organized Health Care Education/Training Program
16541-I
PR
Other
Enumeration date
05/17/2023
Last updated
07/03/2024
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