Individual
EVANS JAYSON ORTIZ SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
QUINTAS DE DORADO, BOULEVARD B23, DORADO, PR 00646-4704
(787) 967-3195
Mailing address
QUINTAS DE DORADO, BOULEVARD B23, DORADO, PR 00646-4704
(787) 967-3195
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21154
PR
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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