Individual
EDGARDO RAUL ORTIZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ESTANCIAS DEL GOLF CLUB JUAN H CINTRON #345 PONCE PR, PONCE, PR 00730
(787) 233-1960
Mailing address
ESTANCIAS DEL GOLF CLUB JUAN H CINTRON #345, PONCE, PR 00730
(787) 233-1960
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21613
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410
—
PR
Enumeration date
12/12/2019
Last updated
11/21/2024
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