Individual
DR. MAXIMINO RAFAEL ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE2 A15 PANORAMA ESTATE, CALLE GEORGETTI 61 NARANJITO, BAYAMON, PR 00957-4379
(787) 730-5309
(787) 869-2575
Mailing address
CALLE2A15 PANORAMA ESTATE, BAYAMON, PR 00957-4379
(787) 730-5309
(787) 869-2575
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5564
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5564
MEDICAL ESTATE LICENCE
PR
Enumeration date
12/18/2006
Last updated
07/08/2007
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