Provider Demographics
NPI:1699220616
Name:ORTIZ DIPINI, ASTRID
Entity Type:Individual
Prefix:
First Name:ASTRID
Middle Name:
Last Name:ORTIZ DIPINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 01 BOX 7055
Mailing Address - Street 2:
Mailing Address - City:NAGUABO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00718
Mailing Address - Country:UM
Mailing Address - Phone:787-633-4194
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 7055
Practice Address - Street 2:
Practice Address - City:NAGUABO
Practice Address - State:PR
Practice Address - Zip Code:00718-9434
Practice Address - Country:US
Practice Address - Phone:787-633-4194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant