Individual
JUAN ANTONIO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9104 FALLS OF NEUSE RD, STE 204, RALEIGH, NC 27615-2493
(919) 706-4900
(919) 706-4901
Mailing address
9104 FALLS OF NEUSE RD, STE 204, RALEIGH, NC 27615-2493
(919) 706-4909
(919) 706-4901
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2011-00555
NC
Other
Enumeration date
11/14/2006
Last updated
02/28/2017
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