Individual
DR. JUAN ENRIQUE ORTIZ-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 CALLE EL VIGIA, PONCE, PR 00730-2987
(787) 239-9557
Mailing address
40 CALLE EL VIGIA, PONCE, PR 00730-2987
(787) 239-9557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
472
PR
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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