Doctor Name: | GLADYS DEL CARMEN ORTIZ PAGAN |
NPI Number: | 1124017215 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 7911 |
Business Practice Address: | 44 Calle Rius Rivera Cabo Rojo, PR - 006233437 |
Business Phone Number: | 7878510165 |
Business Fax Number: | 7878510165 |
Mailing Address: | Po Box 593, CABO ROJO |
State: | PR |
Postal Code: | 006230593 |
Phone Number: | 7878510165 |
Fax Number: | 7878510165 |
NPI Enumeration Date: | 10/20/2005 |
NPI Last Update Date: | 12/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 7911 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |