Individual
MR. PRAXEDES B ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
RR 1 BOX 4000, MARICAO, PR 00606-9705
(787) 838-3422
Mailing address
STREET INDIERA BAJA 426 ROAD KM 3.2, RR01 BUZON 4000, MARICAO, PR 00606-9705
(787) 838-3422
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
004730
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004730
HEALTH DEPARTMENT OF PR
PR
Enumeration date
02/12/2007
Last updated
07/08/2007
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