Individual
MR. RAUL ORTIZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-3818
(505) 200-2647
(505) 200-2695
Mailing address
6805 OLD MESA DR NW, ALBUQUERQUE, NM 87120-3876
(505) 506-1928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02211
NM
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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