Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 17354 | PR |
NPI | 1003076415 |
---|---|
Provider Name | Dr. Jose R. Ortiz-Cardona |
First Address | San Juan, PR 00929-0134 |
Second Address | San Juan, PR 00936-5067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 20/12/2013 |