Provider Demographics
NPI:1922385681
Name:ORTIZ, VALERY (PSYD)
Entity Type:Individual
Prefix:MRS
First Name:VALERY
Middle Name:
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43C CALLE BETANIA
Mailing Address - Street 2:SAINT JUST
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-3084
Mailing Address - Country:US
Mailing Address - Phone:787-371-4881
Mailing Address - Fax:
Practice Address - Street 1:43C CALLE BETANIA
Practice Address - Street 2:SAINT JUST
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-3084
Practice Address - Country:US
Practice Address - Phone:787-371-4881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3915103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist