Individual
DR. GRISELL ORTIZ LASANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
998 AVE MUNOZ RIVERA, SAN JUAN, PR 00927-4308
(787) 722-1248
Mailing address
530 CAMINO LOS AQUINOS, APT 123, TRUJILLO ALTO, PR 00976-7901
(787) 722-1248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16800
PR
Other
Enumeration date
06/06/2007
Last updated
07/03/2019
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