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Individual

STEPHANIE ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
CALLE HERNADEZ CARRION, MANATI, PR 00674
(787) 621-3700
Mailing address
30 SECTOR OTERO, ISABELA, PR 00662

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22184
PR
390200000X
Student in an Organized Health Care Education/Training Program
15293-I

Other

Enumeration date
02/07/2020
Last updated
02/16/2021
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