Provider Demographics
NPI:1962217893
Name:ORTIZ IRIZARRY, DANAHIA NAHIRAMY (DC)
Entity type:Individual
Prefix:
First Name:DANAHIA
Middle Name:NAHIRAMY
Last Name:ORTIZ IRIZARRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 CARR 110 LAS CASITAS COUNTRY CLUB
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:470-805-9737
Mailing Address - Fax:
Practice Address - Street 1:155 AVE PEDRO ALBIZU CAMPOS PR-107
Practice Address - Street 2:
Practice Address - City:AGUADILLS
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-882-8210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor