Individual
DR. DEREK ISRAEL ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
PIEDRAS BLANCAS CAM RODRIGUEZ, SABANA YEGUAS CARR 101 KM 5.6, LAJAS, PR 00667
(787) 519-8942
Mailing address
PO BOX 3190, LAJAS, PR 00667-3190
(305) 833-6625
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
TPPY2854
FL
103TC0700X
Clinical Psychologist
Primary
007404
PR
Other
Enumeration date
09/07/2022
Last updated
10/30/2024
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