Individual
ITZA M DORTA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BARRIO HATO ARRIBA SUITE 18, CARR 111 SAN SEBASTIAN, SAN SEBASTIAN, PR 00685-9998
(787) 280-0200
Mailing address
PO BOX 193069, SAN JUAN, PR 00919-3069
(787) 761-0036
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0555
PR
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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