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Individual

ALBERTO ROMULO ORTIZ CORRADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
VALLE REAL MARQUESA 1715, PONCE, PR 00716-0071
(787) 455-1353
Mailing address
VALLE REAL MARQUESA 1715, PONCE, PR 00716
(787) 455-1353

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
23993
PR
208D00000X
General Practice Physician
Primary
23993
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000278
PR
Enumeration date
01/31/2023
Last updated
07/20/2024
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