Organization
SOCIEDAD ORTIZ-ANNEXY GASTROENTEROLOGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANDA ORTIZ MD (PARTNER)
(787) 884-5368
Entity
Organization
Contact information
Practice address
A4 CALLE MARGINAL, MANATI, PR 00674-4903
(787) 884-5368
(787) 884-0881
Mailing address
PO BOX 1036, MANATI, PR 00674-1036
(787) 884-5368
(787) 884-0881
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4270
IMC PROV. NUMBER
PA
01
—
83925SO
TRIPLE S PROV. NUMBER
PR
Enumeration date
02/04/2007
Last updated
08/22/2020
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