Individual
TANIALIS ORTIZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1000 CARR 831 CONDOMINIO LA FLORESTA, APARTAMENT 1051, BAYAMON, PR 00956-9736
(787) 366-4016
Mailing address
1000 CARR 831 CONDOMINIO LA FLORESTA, APARTAMENT 1051, BAYAMON, PR 00956
(787) 366-4016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3316
PR
Other
Enumeration date
02/28/2017
Last updated
07/24/2019
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