Provider Demographics
NPI:1346609005
Name:ORTIZ DE HOYOS, YADIRA (RPT)
Entity Type:Individual
Prefix:MRS
First Name:YADIRA
Middle Name:
Last Name:ORTIZ DE HOYOS
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 141299
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-1299
Mailing Address - Country:US
Mailing Address - Phone:787-439-9682
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 81
Practice Address - Street 2:MARGINAL REPARTO SAN MIGUEL
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-878-4143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR843225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist