Individual
FERNANDO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 CALLE RAMOS ANTONINI, SUITE 205, MAYAGUEZ, PR 00680-4931
(787) 265-6644
Mailing address
8 CALLE RAMOS ANTONINI, SUITE 205, MAYAGUEZ, PR 00680-4931
(787) 265-6644
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
3610
PR
103TC1900X
Counseling Psychologist
Primary
3610P
PR
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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