Individual
DR. JUAN C ORTIZ DE LA RENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
VIA MIRTA 3 DS-1, VILLA FONTANA, CAROLINA, PR 00983
(787) 776-0570
(787) 776-0570
Mailing address
PO BOX 8480, SAN JUAN, PR 00910-0480
(787) 776-0570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2374
PR
Other
Enumeration date
09/26/2006
Last updated
08/09/2016
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