Individual
IVANISSE ORTIZ VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 172 KM 0.2, URB. TURABO GARDENS, SALIDA 21, CAGUAS, PR 00725-3934
(787) 653-0550
Mailing address
PO BOX 191267, SAN JUAN, PR 00919-1267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22763
PR
207RP1001X
Pulmonary Disease Physician
Primary
22763
PR
208D00000X
General Practice Physician
22763
PR
Other
Enumeration date
08/23/2018
Last updated
05/04/2026
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