Individual
CARMARIE SANTIAGO ORTOLAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
412 CALLE VIZCAYA, JUANA DIAZ, PR 00795-2700
(787) 238-4467
Mailing address
412 CALLE VIZCAYA, JUANA DIAZ, PR 00795-2700
(787) 238-4467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19776
PR
208D00000X
General Practice Physician
19776
PR
Other
Enumeration date
09/06/2017
Last updated
10/31/2022
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