Individual
DR. RAYNALDO RIVERA ORTIZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 WALTER REED BLVD, SUITE 305, GARLAND, TX 75042-3701
(972) 276-6100
Mailing address
1721 ANALOG DR, RICHARDSON, TX 75081-1944
(972) 276-6100
(972) 276-1231
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H9000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133668710
—
TX
Enumeration date
10/06/2006
Last updated
05/06/2020
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