Organization
CLINICA MEDICA DRA ORTIZ-LOPEZ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAMILLIE S ORTIZ-LOPEZ (OWNER)
(787) 204-0936
Entity
Organization
Contact information
Practice address
180 PEDRO ALBIZU CAMPOS, 4B SUITE NO 10 PLAZA SALINAS MALL, SALINAS, PR 00751
(787) 824-4967
Mailing address
PO BOX 8907, PONCE, PR 00732-8907
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15274
LICENSE
—
Enumeration date
05/14/2008
Last updated
05/14/2008
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