Individual
MRS. CARMEN MIRTA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CENTRO SALUD MENTAL DE MAYAGUEZ, 410 AVE HOSTOS SUITE 7, MAYAGUEZ, PR 00682-1522
(787) 832-6770
(787) 832-6771
Mailing address
URB PARQUE REAL, CALLE DIAMANTE 35, LAJAS, PR 00667
(787) 899-5843
(787) 832-6771
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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