Individual
MR. LUIS M DORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE MAYAGUEZ #45, SAN JUAN, PR 00917
(787) 281-0032
(787) 767-3412
Mailing address
4633 ISLA VERDE AVE, PMB 1213, CAROLINA, PR 00979
(787) 281-0032
(787) 767-3412
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7656
PR
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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