Provider Demographics
NPI:1760441513
Name:ORTIZ, ZORAIDA IVETTE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ZORAIDA
Middle Name:IVETTE
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:DMD
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 3052
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-3052
Mailing Address - Country:US
Mailing Address - Phone:787-856-5473
Mailing Address - Fax:787-856-8151
Practice Address - Street 1:HOSPITAL METROPOLITANO DOCTOR TITO MATTEI
Practice Address - Street 2:CARR. 128 KM. 1 SUITE 113
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-267-8801
Practice Address - Fax:787-856-8151
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR25731223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry