Organization
ORTHO ADVANCED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL SENERIZ ORTIZ MD (OWNER)
(787) 840-7533
Entity
Organization
Contact information
Practice address
TORRE MEDICA SAN LUCAS STE 507, PONCE, PR 00716
(787) 840-7533
(787) 812-7533
Mailing address
609 AVE TITO CASTRO STE 102 PMB 386, PONCE, PR 00716-2232
(787) 840-7533
(787) 812-7533
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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