Provider Demographics
NPI:1831704006
Name:GARCIA-ORTIZ, GISELA MARIA
Entity type:Individual
Prefix:
First Name:GISELA
Middle Name:MARIA
Last Name:GARCIA-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 1:300 AVE LA SIERRA
Mailing Address - Street 2:APT. 166
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4342
Mailing Address - Country:US
Mailing Address - Phone:787-383-6364
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSIDAD CARLOS ALBIZU
Practice Address - Street 2:151 CALLE TANCA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901
Practice Address - Country:US
Practice Address - Phone:787-725-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist