Healthcare Provider Details
I. General information
NPI: 1548156573
Provider Name (Legal Business Name): ZORIELU ORTA-MONTES MPHE, CHES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6050 CARR 844 APT 58
SAN JUAN PR
00926-7821
US
IV. Provider business mailing address
6050 CARR 844 APT 58
SAN JUAN PR
00926-7821
US
V. Phone/Fax
- Phone: 787-486-8322
- Fax:
- Phone: 787-486-8322
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | 600 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: