Individual
DR. RAYMOND F. ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2515 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4972
(505) 426-8010
(505) 454-0322
Mailing address
2515 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4972
(505) 425-2662
(505) 425-6410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
85-77
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T9915
—
NM
Enumeration date
05/18/2006
Last updated
09/19/2023
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