Individual
NATALIA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E LEHIGH AVE, PHILADELPHIA, PA 19125-1012
(215) 707-8496
(215) 707-4086
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-8496
(215) 707-4086
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD423012
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093920
MEDICARE
PA
05
—
1014870840001
—
PA
Enumeration date
10/05/2005
Last updated
04/23/2018
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