| Doctor Name: | HERMES G. ROSARIO ORTIZ |
| NPI Number: | 1316284169 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 004639 |
| Business Practice Address: | Carr. 417 Km 2.7 Bo Malpaso Edif. Carribean Office Park Aguada, PR - 00602 |
| Business Phone Number: | 7878681828 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1635, AGUADILLA |
| State: | PR |
| Postal Code: | 006051635 |
| Phone Number: | 7872441475 |
| Fax Number: | |
| NPI Enumeration Date: | 01/14/2013 |
| NPI Last Update Date: | 04/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 004639 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |