Individual
MR. JOSE L ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
STREET A SANTA ELENITA, C 2 NUM 35, BAYAMON, PR 00957
(787) 243-1580
Mailing address
STREET A C 2 NUM 35, URB SANTA ELENITA, BAYAMON, PR 00957
(787) 243-1580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
30831
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007520
DRIVER LICENSE
PR
Enumeration date
05/13/2013
Last updated
05/14/2013
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