Organization
BLUE SPECTRUM FAMILY HEALTH NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS ORTIZ CALCANO DNP, FNP-BC (BUSINESS OWNER/FAMILY HEALTH NP)
(718) 200-8094
Entity
Organization
Contact information
Practice address
2 OCEAN DR APT W09F, BROOKLYN, NY 11224-3768
(718) 200-8094
(718) 228-3868
Mailing address
13201 ROOSEVELT AVE PMB 818149, FLUSHING, NY 11354-5258
(718) 200-8094
(718) 228-3868
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
04/25/2024
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