Individual
ROBERT ORTEGA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NEMT PROVIDER
Contact information
Practice address
1513 SE 20TH PL, HOMESTEAD, FL 33035-2609
(305) 582-6368
(904) 369-9015
Mailing address
1513 SE 20TH PL, HOMESTEAD, FL 33035-2609
(305) 582-6368
(904) 369-9015
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
JT73597
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343900000X
NON-EMERGENCY MEDICAL TRANSPORTATION (VAN)
FL
Enumeration date
06/05/2019
Last updated
06/06/2019
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