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Organization

MARIA DE LOURDES ORTIZ, CSP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA DE LOURDES ORTIZ-ROSARIO M.D. (PRESIDENT)
(787) 630-7923
Entity
Organization

Contact information

Practice address
86 VIA MIRADERO, HACIENDA SAN JOSE, CAGUAS, PR 00727-3007
(787) 745-0806
(787) 745-0806
Mailing address
86 VIA MIRADERO, HACIENDA SAN JOSE, CAGUAS, PR 00727-3007
(787) 745-0806
(787) 745-0806

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13806
PR

Other

Enumeration date
08/07/2014
Last updated
08/07/2014
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