Individual
OSVALDO ORTIZ ROLDAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
BO FLORIDA CARR 183, RAMAL 9929 KM 1.6, SAN LORENZO, PR 00754
(787) 559-5186
Mailing address
PO BOX 987, SAN LORENZO, PR 00754-0987
(787) 559-5186
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444409
—
PR
Enumeration date
05/29/2020
Last updated
05/29/2020
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