Individual
MRS. MARIA D ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 BROOK ST, BLDG 21, FORT BUCHANAN, PR 00934-4206
(787) 707-2167
(787) 707-2159
Mailing address
RURAL ROUTE # 4, BOX 27463, TOA ALTA, PR 00953
(787) 707-2167
(787) 707-2159
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
000288
PR
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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