Doctor Name: | DAMARIS ORTIZ GONZALEZ |
NPI Number: | 1972993947 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 18972 |
Business Practice Address: | 780 Carr 8860 Apt. A103 Trujillo Alto, PR - 009765427 |
Business Phone Number: | 7875073291 |
Business Fax Number: | |
Mailing Address: | Po Box 1434, SAN SEBASTIAN |
State: | PR |
Postal Code: | 006851434 |
Phone Number: | 7875073291 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2015 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18972 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |