Provider Demographics
NPI:1538928817
Name:ORTIZ ROJAS, ALESHKA GLIZETT
Entity type:Individual
Prefix:
First Name:ALESHKA
Middle Name:GLIZETT
Last Name:ORTIZ ROJAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 4459
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-8929
Mailing Address - Country:US
Mailing Address - Phone:787-636-0700
Mailing Address - Fax:
Practice Address - Street 1:CARR 198. KM 10.3 SECTOR LA FERMINA
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-0079
Practice Address - Country:US
Practice Address - Phone:787-462-6447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7036103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling