Individual
DR. JAN CARLOS ORTIZ ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE UNION #91 ESQ CALLE SOL, PONCE, PR 00730
(787) 848-5353
(787) 259-4462
Mailing address
PO BOX 7432, PONCE, PR 00732-7432
(787) 848-5353
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
S5724
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
19473
PR
208D00000X
General Practice Physician
19473
PR
Other
Enumeration date
08/07/2015
Last updated
08/10/2023
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