Individual
DR. RENE DIETRICH ORMACHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1815 ROAD NO 2 KM 11.7, BAYAMON, PR 00959-7279
(787) 780-9069
(787) 780-2121
Mailing address
PO BOX 602727, BAYAMON, PR 00960-6037
(787) 780-9069
(787) 780-2121
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
4221
PR
2085N0700X
Neuroradiology Physician
4221
PR
2085R0202X
Diagnostic Radiology Physician
Primary
4221
PR
Other
Enumeration date
09/16/2005
Last updated
03/25/2010
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