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Individual

DR. MOISES ORTIZ-VILLALOBOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
AVE.LUIS MUNOZ MARIN, MARIOLGA, HOSPITAL HIMA OFICINA 106, CAGUAS, PR 00726
(787) 746-7441
(787) 746-3190
Mailing address
PO BOX 6628, CAGUAS, PR 00726-6628
(787) 746-7441
(787) 746-3190

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
10714
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3632
FIRST PLUS
PR
01
4095
PREFERRED MEDICARE CHOICE
PR
01
7250125
HUMANA HEALTH PLANS
PR
01
83602
TRIPLE S
PR
Enumeration date
10/11/2005
Last updated
03/05/2008
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