Doctor Name: | MR. JOSE F ORTIZ - LLAURADOR |
NPI Number: | 1164658720 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | TM-P1625 |
Business Practice Address: | 311 Calle Topacio Urb. Alturas Penuelas 2 Penuelas, PR - 006242303 |
Business Phone Number: | 7878363358 |
Business Fax Number: | |
Mailing Address: | 311 Topacio, Urb. Alturas Penuelas 2 PENUELAS |
State: | PR |
Postal Code: | 00624 |
Phone Number: | 7878363358 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2009 |
NPI Last Update Date: | 06/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146L00000X |
License Number: | TM-P1625 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Paramedic |
Taxonomy Specialization: | |
Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |