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Individual
RICARDO J ORTEGA
Active
Individual
RICARDO J ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81-280
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400521255
MEDICARE PROVIDER #
NM
01
—
81-280
STATE MEDICAL LICENSE #
NM
01
—
CS00008264
NM STATE PHARMACY #
NM
Enumeration date
10/23/2005
Last updated
03/07/2023
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