Individual
IVRY ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-4985
Mailing address
5520 WELLNESS WAY UNIT 14305, SANTA FE, NM 87507-3660
(505) 471-4985
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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