Berta Lisbeth Granados Ortega, M.D.

NPI #1760672661 in Manakin Sabot, Virginia

Provider Information

NPI Number: 1760672661
Entity Type: Individual
Name: Berta Lisbeth Granados Ortega, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 26, 2007
Last Updated: Feb 9, 2015

Practice Location

Address: 46A BROAD STREET RD
City: Manakin Sabot
State: Virginia
ZIP Code: 23103-2213
Phone: (804) 708-9480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

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