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Individual

DR. JUAN LUIS ORTIZ MATOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CALLE 1 CASA 1 URB. SANFELIZ, COROZAL, PR 00783
(787) 859-0112
(787) 859-6846
Mailing address
PO BOX 1117, COROZAL, PR 00783-1117
(787) 406-0626
(787) 859-6846

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9695
PR

Other

Enumeration date
06/14/2006
Last updated
05/12/2011
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