# UNMSOM 89

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midtown Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396906798
- **Authorized official:** DONALD J ORTIZ MD (PARTNER)
- **Authorized official phone:** (505) 255-1228

## Contact information

- **Practice address:** 1821 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
- **Practice address phone:** (505) 255-1228
- **Practice address fax:** (505) 255-1394
- **Mailing address:** 1821 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
- **Mailing address phone:** (505) 255-1228
- **Mailing address fax:** (505) 255-1394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 03-136327-00-0 | NM | Yes |

## Other

- **Enumeration date:** 06/19/2008
- **Last updated:** 04/07/2011
