Individual
DR. JORGE ANTONIO ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13709 S SANTA FE AVE STE B, OKLAHOMA CITY, OK 73170-7327
(405) 794-4484
(888) 440-5383
Mailing address
13709 S SANTA FE AVE STE B, OKLAHOMA CITY, OK 73170-7327
(405) 794-4474
(888) 440-5383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K7852
TX
Other
Enumeration date
05/09/2006
Last updated
04/05/2026
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