Individual
WANDALISA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
URB. TURABO GARDENS 3RA SECC., CALLE A R-1525, CAGUAS, PR 00727-5925
(787) 378-2735
Mailing address
URB. TURABO GARDENS 3RA SECC., CALLE A R-1525, CAGUAS, PR 00727-5925
(787) 378-2735
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
24774
PR
363AM0700X
Medical Physician Assistant
Primary
001828
PR
Other
Enumeration date
07/27/2023
Last updated
02/03/2026
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