Individual
CARLOS CORREA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1084 SUNSET STRIP, SUNRISE, FL 33313-6106
(954) 225-4454
Mailing address
11750 BIRD RD, MIAMI, FL 33175-3530
(305) 485-4677
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME171280
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
09/11/2025
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