Provider Demographics
NPI:1073852851
Name:ORTIZ-GIULIANI, BRUNILDA MARIE (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:BRUNILDA
Middle Name:MARIE
Last Name:ORTIZ-GIULIANI
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CALLE COMERCIO
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-3629
Mailing Address - Country:US
Mailing Address - Phone:787-927-3581
Mailing Address - Fax:
Practice Address - Street 1:9 CALLE COMERCIO
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3629
Practice Address - Country:US
Practice Address - Phone:787-927-3581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR28391223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics