# MR. OMAR ORTIZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114008265
- **Gender:** Man
- **Credential:** CRTT, RPSGT, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 26579 | PR | Yes |
| 2278G1100X | General Care Certified Respiratory Therapist | 1891 | PR | — |
| 247200000X | Other Technician | 7758 | PR | — |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 09/11/2025
