Individual
MARIELY NICOLE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
CALLE GUILLERMO RIESKOHL, PATILLAS, PR 00723-0697
(787) 839-4320
Mailing address
EXT VILLA MILAGROS, 46 RENE ALFONSO, YAUCO, PR 00698
(787) 202-8826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3252
PR
Other
Enumeration date
05/22/2015
Last updated
04/03/2019
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