Provider Demographics
NPI:1972218048
Name:ORTEGA-ROSA, YAMILIZ (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:MRS
First Name:YAMILIZ
Middle Name:
Last Name:ORTEGA-ROSA
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EDIF 3 APT 110
Mailing Address - Street 2:ISLABELA BEACH RESORT
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662
Mailing Address - Country:US
Mailing Address - Phone:787-594-9856
Mailing Address - Fax:
Practice Address - Street 1:EDIF 3 APT 110
Practice Address - Street 2:ISLABELA BEACH RESORT
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:787-594-9856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1099225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty