Organization
ORTIZ MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS JUAN ORTIZ MATOS M.D. (PRESIDENTE)
(787) 859-0112
Entity
Organization
Contact information
Practice address
URB. SANFELIZ, CALLE 1 CASA 1, COROZAL, PR 00783-0209
(787) 859-0112
(787) 859-6846
Mailing address
PO BOX 209, COROZAL, PR 00783-0209
(787) 859-0112
(787) 859-6846
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
302R00000X
PR
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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