Individual
DR. RAYMOND ORTIZ CLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
ROBERTO CLEMENTE AVE, 24 8 VILLA CAROLINA, CAROLINA, PR 00985-5401
(787) 757-3080
(787) 757-1910
Mailing address
AVE ROBERTO CLEMENTE, 24 8 VILLA CAROLINA, CAROLINA, PR 00985-5401
(787) 757-3080
(787) 757-1910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2523
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2523
MEDICAL LICENCES
PR
Enumeration date
07/07/2005
Last updated
11/20/2020
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