Individual
JOSE JUAN ORTIZ BENITEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HC20BOX10449, JUNCOS, PR 00777
(939) 256-4171
Mailing address
HC20BOX10449, JUNCOS, PR 00777
(939) 256-4171
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1397
PR
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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