Individual
DAVID JOHN ORTIZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
269 CALLE BALLENA, URB BRISAS DE MAR CHIQUITA, MANATI, PR 00674
(787) 340-4332
Mailing address
URB BRISAS DE MAR CHIQUITA, 269 CALLE BALLENA, MANATI, PUERTO RICO 00674
(787) 340-4332
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
22193
PR
Other
Enumeration date
05/13/2016
Last updated
10/12/2016
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