Provider Demographics
NPI:1174393623
Name:ORTIZ ROSADO, ZERILOANY (MLS (ASCP))
Entity type:Individual
Prefix:
First Name:ZERILOANY
Middle Name:
Last Name:ORTIZ ROSADO
Suffix:
Gender:F
Credentials:MLS (ASCP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1557
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-1557
Mailing Address - Country:US
Mailing Address - Phone:939-269-1303
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 102, KM 36.0,
Practice Address - Street 2:BO. MINILLAS
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:939-269-1303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8468291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory