Provider Demographics
NPI:1598804460
Name:ORTIZ-DE HOYOS, GISEL (PH,R)
Entity Type:Individual
Prefix:MRS
First Name:GISEL
Middle Name:
Last Name:ORTIZ-DE HOYOS
Suffix:
Gender:F
Credentials:PH,R
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 143574
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-3574
Mailing Address - Country:US
Mailing Address - Phone:787-817-3144
Mailing Address - Fax:787-879-1799
Practice Address - Street 1:V1 CALLE 16
Practice Address - Street 2:URB. VILLA LOS SANTOS
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-3112
Practice Address - Country:US
Practice Address - Phone:787-879-1641
Practice Address - Fax:787-879-1799
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4657183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4657OtherLICENSE