Individual
JOSE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1475 W 49TH ST, HIALEAH, FL 33012-3222
(305) 558-2500
(305) 826-9002
Mailing address
1475 W 49TH ST, HIALEAH, FL 33012-3222
(305) 558-2500
(305) 826-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0078721
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47203
BLUE SHIELD #
FL
01
—
ME0078721
FLORIDA LICENSE #
FL
Enumeration date
03/22/2007
Last updated
07/09/2007
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