Organization
JOSE A ORTIZ DMD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANIBAL ORTIZ DMD (PRESIDENT)
(352) 978-2413
Entity
Organization
Contact information
Practice address
URB. ORTA, CARR. PR-14 #4, LOCAL #1, JUANA DIAZ, PR 00795
(787) 903-6579
Mailing address
9C9 EXT. DEL CARMEN, JUANA DIAZ, PR 00795
(787) 837-4139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2142
PR
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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