Individual
GRETCHEN TERESA ORTIZ OTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BO. BAIROA, CARR. 173, R 795 KM0.3, AGUAS BUENAS, PR 00703
(939) 246-8276
Mailing address
HC 4 BOX 8469, AGUAS BUENAS, PR 00703-8869
(939) 246-8276
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006252
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006252
PSYCHOLOGY LICENSE
PR
Enumeration date
08/03/2026
Last updated
08/11/2026
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