Individual
MR. MANUEL ANTONIO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
370 CALLE FERRER, SAN JUAN, PR 00915-2541
(787) 307-9911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9589
PR
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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