Most Relevant Information
Provider Data
| NPI Number: | 1003808171 |
| Provider Name: | JAIME LUIS ORTIZ |
| Entity Type: | Individual |
| Taxonomy Code: | 207YX0007X |
| Specialty: | Otolaryngology |
| License Number: | 009602 |
Most Important Dates
| Enumeration Date: | 08/16/2005 |
| Last Updated: | 03/08/2019 |
Provider Practice Location
TORRE SAN CRISTOBAL
205 A
COTO LAUREL
PR
00780
Practice Location Phone/Fax
| Phone: | 7878445121 |
| Fax: | 7878425796 |
Provider Mailing Location
PO BOX 1435
JUANA DIAZ
PR
007951435
Provider Mailing Phone/Fax
| Phone: | 7878445121 |
| Fax: | 7878425796 |