Individual
MRS. CARMEN A. CUSTODIO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
RR 11 BOX 3745, BAYAMON, PR 00956-9312
(787) 730-2132
(787) 391-8624
Mailing address
RR 11 BOX 3745, BAYAMON, PR 00956-9312
(787) 730-2132
(787) 391-8624
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1065
PR
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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