Individual
NICOLE E ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
URB BARALT I 20, FAJARDO, PR 00738
(787) 860-4233
(787) 494-2072
Mailing address
PO BOX 193069, SAN JUAN, PR 00919-3069
(787) 761-0036
(787) 494-2072
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4768-1
PR
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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