Provider Demographics
NPI:1396941753
Name:ORDONEZ, ROSAURA J
Entity type:Individual
Prefix:DR
First Name:ROSAURA
Middle Name:J
Last Name:ORDONEZ
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:P.O BOX 16880
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00908-6880
Mailing Address - Country:US
Mailing Address - Phone:787-721-9041
Mailing Address - Fax:787-724-5669
Practice Address - Street 1:300 AVE JESUS T PINERO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4049
Practice Address - Country:US
Practice Address - Phone:787-758-9196
Practice Address - Fax:787-724-5669
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2755202C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner