Individual
DORALIZ ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
362 AVE ANDALUCIA, SAN JUAN, PR 00920-4103
(787) 793-5045
Mailing address
PO BOX 1222, BAYAMON, PR 00960
(787) 379-9294
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
6909
PR
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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