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Ortho Advanced LLC

Clinic/Center, Health Services in Ponce, PR. Organization (NPI-2).

NPI number1558070946
StatusActive
Last updated in NPPESNov 15, 2022

Details

NPI
1558070946
Entity type
Organization (NPI-2)
Legal business name
Ortho Advanced LLC
Organization subpart
No
Enumeration date
Nov 15, 2022
Certification date
Nov 10, 2022
Last updated
Nov 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health Services––Yes

Practice location

Torre Medica San Lucas Ste 507
Ponce, PR 00716

Phone 787-840-7533 · Fax 787-812-7533

Mailing address

609 Ave Tito Castro Ste 102 Pmb 386
Ponce, PR 00716-2232

Phone 787-840-7533 · Fax 787-812-7533

Authorized official

Rafael Seneriz Ortiz
Owner
7878407533

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