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Individual

DR. JOSE ANIBAL ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
URB. ORTA, CARR 14 KM 13.1, JUANA DIAZ, PR 00795
(787) 837-1414
(787) 837-1414
Mailing address
URB. CARRION MADURO, 3 CALLE 1, JUANA DIAZ, PR 00795
(352) 978-2413

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2142
PR
1223G0001X
General Practice Dentistry
DN15853
FL

Other

Enumeration date
12/14/2006
Last updated
12/11/2009
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