Individual
DR. ENRIQUE O. ORTIZ-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
(210) 690-7405
Mailing address
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
017287
PR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME120804
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
R9261
TX
207RP1001X
Pulmonary Disease Physician
017287
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3KSBL
BC/BS
FL
Enumeration date
06/12/2007
Last updated
01/16/2025
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