Individual
MRS. HILARY C ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
2010 INDUSTRIAL PARK RD, EL CENTRO FAMILY HEALTH RAHC CLINIC, ESPANOLA, NM 87532-3600
(505) 753-7395
(505) 753-8373
Mailing address
PO BOX 158, EL CENTRO FAMILY HEALTH, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
80PA013
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98396
—
NM
Enumeration date
11/30/2006
Last updated
01/22/2013
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