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NPI Code Detail

MEDICARE: MRS. GISEL ORTIZ-DE HOYOS PH,R

MEDICARE:  MRS. GISEL  ORTIZ-DE HOYOS  PH,R
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist4657PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14657OTHERPRLICENSE

General Provider Information

NPI Number : 1598804460
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GISEL ORTIZ-DE HOYOS PH,R
Provider Business Mailing Address
First Line : PO BOX 143574
Second Line :
City : ARECIBO
State : PR
Zip : 00614-3574
Country : US
Telephone Number : 787-817-3144
Fax Number : 787-879-1799
Provider Business Practice Location Address
First Line : V1 CALLE 16
Second Line : URB. VILLA LOS SANTOS
City : ARECIBO
State : PR
Zip : 00612-3112
Country : US
Telephone Number : 787-879-1641
Fax Number : 787-879-1799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. GISEL ORTIZ-DE HOYOS PH,R” Practice Location

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