Organization
ORTIZ MEDICAL PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS J ORTIZ MD (PRESIDENT)
(787) 859-7182
Entity
Organization
Contact information
Practice address
ROAD 159 KM 12.4, COROZAL, PR 00783
(787) 859-7182
(787) 859-6846
Mailing address
PO BOX 209, COROZAL, PR 00783-0209
(787) 859-7182
(787) 859-6846
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11F2730
PR
Other
Enumeration date
06/08/2009
Last updated
06/16/2009
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