Individual
LUIS A. ORTIZ WHATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
73 CALLE DR VEVE, BAYAMON, PR 00961-6344
(787) 787-0732
(787) 785-5848
Mailing address
PO BOX 128, BAYAMON, PR 00960-0128
(787) 787-0732
(787) 785-5848
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
91
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077051
LA CRUZ AZUL DE PR
PR
01
—
0910
INTERNATIONAL MEDICAL CAR
PR
01
—
215063
PREFERRED HEALTH PLAN
PR
01
—
660290574
MMM HEALTHCARE
PR
Enumeration date
04/21/2006
Last updated
05/17/2011
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