Individual
DR. IVETTE OSTOLAZA-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
AVENIDA LAUREL, ESQUINA SANTA JUANITA #100, BAYAMON, PR 00960-1786
(787) 269-0988
(787) 995-6925
Mailing address
PO BOX 1786, BAYAMON, PR 00960-1786
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11446
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20233OS
SSS
—
01
—
3213
PREFERRED MEDICARE CHOICE
—
Enumeration date
10/10/2006
Last updated
07/08/2007
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