Individual
RAUL A ORTIZ LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUDIOLOGO
Contact information
Practice address
AVE ATLETICOS DE SAN GERMAN EDIFICIO RALI, SUITE 204, SAN GERMAN, PR 00683-9800
(787) 264-7027
(787) 264-7027
Mailing address
PO BOX 5000, PMB 477, SAN GERMAN, PR 00683-9800
(787) 264-7027
(787) 264-7027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
450
PR
Other
Enumeration date
10/24/2007
Last updated
05/23/2016
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