Individual
MS. AIXA M ORTIZ-GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1415 CALLE DOVER, CAPARRA TERRACE, SAN JUAN, PR 00920-5021
(787) 781-9943
Mailing address
1415 CALLE DOVER, CAPARRA TERRACE, SAN JUAN, PR 00920-5021
(787) 781-9943
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4452
PR
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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