Individual
GENESIS ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 AVE ESCORIAL, SAN JUAN, PR 00920-4719
(939) 644-0344
Mailing address
RR 5 BOX 7850, TOA ALTA, PR 00953-7725
(787) 219-0601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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