Provider Demographics
NPI:1013496900
Name:FEBUS ORTIZ, VALERY
Entity Type:Individual
Prefix:
First Name:VALERY
Middle Name:
Last Name:FEBUS ORTIZ
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 2 BOX 7184
Mailing Address - Street 2:
Mailing Address - City:COMERIO
Mailing Address - State:PR
Mailing Address - Zip Code:00782-9626
Mailing Address - Country:US
Mailing Address - Phone:787-605-5750
Mailing Address - Fax:
Practice Address - Street 1:CARR 156 KIL 2.6 R780 R780 ENT
Practice Address - Street 2:BARRIO DONA ELENA
Practice Address - City:COMERIO
Practice Address - State:PR
Practice Address - Zip Code:00782
Practice Address - Country:US
Practice Address - Phone:787-605-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR85294163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice