Individual
JOSE MIGUEL ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 CALLE SERGIO CUEVAS BUSTAMANTE, AVE DOMENECH, SAN JUAN, PR 00918
(787) 758-8383
Mailing address
1430 AVE SAN ALFONSO APT 1906, SAN JUAN, PR 00921-4663
(787) 342-2583
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18382
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18382
LIC MD
PR
Enumeration date
11/05/2008
Last updated
03/27/2014
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