Individual
LUIS JUAN ORTIZ MATOS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE 1 CASA 1URB. SANFELIZ, COROZAL, PR 00783
(787) 859-7182
(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
208D00000X
General Practice Physician
Primary
9087
PR
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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