Provider Demographics
NPI:1225740855
Name:ORTIZ ROLON, EMILY ANN (MHSN, RD, LND)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:ORTIZ ROLON
Suffix:
Gender:F
Credentials:MHSN, RD, LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB GRAN VISTA 54 CAMINO DE LAS BAMBUAS
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-514-6903
Mailing Address - Fax:
Practice Address - Street 1:URB GRAN VISTA 54 CAMINO DE LAS BAMBUAS
Practice Address - Street 2:
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-514-6903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered