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Individual
DR. LUIS ARIEL ORTIZ
Active
Individual
DR. LUIS ARIEL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
13942
PR
208D00000X
General Practice Physician
Primary
ACN563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13942
STATE MEDICAL LICENSE
PR
01
—
14108-5
ASSMCA LICENSE
PR
01
—
ACN 563
FLORIDA TEMPORARY ACN LICENSE
FL
Enumeration date
07/10/2006
Last updated
11/08/2024
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