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Individual
CARLOS ORTEGA
Active
Individual
CARLOS ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00206300
NJ
363AS0400X
Surgical Physician Assistant
C5-0000352
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P71872
BLUE SHIELD DE
—
Enumeration date
08/13/2006
Last updated
07/06/2026
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