# WILFREDO RIVERA-ORTIZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629045216
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME64315 | FL | Yes |

## Other

- **Enumeration date:** 03/02/2006
- **Last updated:** 03/24/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00449 | UNIVERSAL MEDICARE MASTERPIECE | FL |
| 01 | — | 149290 | WELLCARE | FL |
| 01 | — | 1755356 | MEDICARE COMPLETE | FL |
| 01 | — | 191968 | AMERIGROUP | FL |
| 01 | — | 23697 | BCBS | FL |
| 05 | — | 373435800 | — | FL |
| 01 | — | 584178469 | TRICARE | FL |
| 01 | — | P00017941 | RAILROAD | FL |
| 01 | — | P102212 | FREEDOM HEALTH | FL |