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Dr. Jose Ismael Ortiz, M.D.

General Practice in San Juan, PR. Individual provider (NPI-1).

NPI number1457597239
StatusActive
Last updated in NPPESJan 7, 2021

Details

NPI
1457597239
Entity type
Individual (NPI-1)
Name
Dr. Jose Ismael Ortiz
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 27, 2008
Certification date
Jan 7, 2021
Last updated
Jan 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice17418PRYes

Practice location

600 Blvd De La Montana Apt 339
San Juan, PR 00926-7114

Phone 787-412-9773

Mailing address

600 Blvd De La Montana Apt 339
San Juan, PR 00926-7114

Phone 787-412-9773

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