Individual
AMANDA YADIRAH ORTIZ VICIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
C16 CALLE AZUCENA, URB GREEN HILLS, GUAYAMA, PR 00784
(787) 214-3740
Mailing address
CALLE CESAR GONZALEZ CONDOMINIO PARQUE DE LAS FUENTES, APT 2303, SAN JUAN, PR 00918
(787) 214-3740
Taxonomy
Speciality
Code
Description
License number
State
207RI0008X
Hepatology Physician
Primary
023723
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6164903
LICENCE NUMBER
PR
Enumeration date
06/18/2019
Last updated
09/23/2024
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