Individual
ROBERTO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HIGHLAND AVE, PROVIDENCE, RI 02906-2740
(401) 351-7100
(401) 751-6179
Mailing address
100 HIGHLAND AVE, SUITE 203, PROVIDENCE, RI 02906-2740
(401) 351-7100
(401) 751-6179
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
08984
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9002705
—
RI
Enumeration date
02/05/2007
Last updated
06/09/2011
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