Provider Demographics
NPI:1376912113
Name:DIAZ-ORTIZ, DEBBIE ANN (CPM)
Entity Type:Individual
Prefix:MISS
First Name:DEBBIE
Middle Name:ANN
Last Name:DIAZ-ORTIZ
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 CALLE ALMENDRO
Mailing Address - Street 2:LOS COLOBOS PARK
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-8342
Mailing Address - Country:US
Mailing Address - Phone:787-310-4128
Mailing Address - Fax:
Practice Address - Street 1:119 CALLE ALMENDRO
Practice Address - Street 2:LOS COLOBOS PARK
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-8342
Practice Address - Country:US
Practice Address - Phone:787-310-4128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay