Individual
DR. PROVIANA ORTIZ VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
V1 CALLE 16, URB. VILLA LOS SANTOS, ARECIBO, PR 00612-3112
(787) 879-1585
(787) 879-4315
Mailing address
C33 CALLE 3, HILL SIDE, RIO PIEDRAS, PR 00926-5205
(787) 879-1585
(787) 879-4315
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6342
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97928
PROVIDER SSS
PR
Enumeration date
04/12/2007
Last updated
07/08/2007
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