Provider Demographics
NPI:1295628907
Name:ORTIZ-BORRERO, KRYSTAL MICHELLE (ATS)
Entity type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:MICHELLE
Last Name:ORTIZ-BORRERO
Suffix:
Gender:F
Credentials:ATS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 CARNEGIE RD APT 102
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3770
Mailing Address - Country:US
Mailing Address - Phone:787-677-0271
Mailing Address - Fax:
Practice Address - Street 1:2775 CARNEGIE RD APT 102
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3770
Practice Address - Country:US
Practice Address - Phone:787-677-0271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer