Individual
ALFONSO MANUEL ORTIZ VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 PONCE DE LEON BLVD STE 605, CORAL GABLES, FL 33134-2074
(453) 445-4535
Mailing address
3450 NW 85TH CT APT 320, DORAL, FL 33122-1946
(212) 470-8703
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME156334
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2017
Last updated
05/25/2022
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