Organization
DR LUIS CARLOS ORTIZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS CARLOS ORTIZ SR. MD (PRESIDENT, MD)
(787) 458-8030
Entity
Organization
Contact information
Practice address
48 HENNA ST, CABO ROJO, PR 00623
(787) 851-2320
(787) 851-2320
Mailing address
BOX 160, CABO ROJO, PR 00623
(787) 851-2320
(787) 851-2320
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23461
—
PR
Enumeration date
08/12/2019
Last updated
08/12/2019
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