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Individual

RICHARD ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BMS

Contact information

Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
(505) 438-6011
Mailing address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NM

Other

Enumeration date
01/22/2014
Last updated
03/21/2017
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