Individual
LOURDES T ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5806 PROVIDENCE OAK, SAN ANTONIO, TX 78249-4878
(787) 241-0728
Mailing address
PO BOX 57, CANOVANAS, PR 00729-0057
(787) 241-0728
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
009252
PR
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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