Individual
VICTOR O DE JESUS ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 CALLE GUILLERMO RIEFKHOL, PATILLAS, PR 00723
(787) 839-4320
(787) 271-0004
Mailing address
PO BOX 697, PATILLAS, PR 00723-0697
(787) 839-4320
(787) 271-0004
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
4991835
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04028
REGISTRY NUMBER
PR
Enumeration date
08/13/2021
Last updated
08/13/2021
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