Individual
RONALDO ENRIQUE ORTIZ-PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 PRESIDENTIAL PLAZA, SYRACUSE, NY 13202
(315) 464-3835
Mailing address
90 PRESIDENTIAL PLAZA, SYRACUSE, NY 13202
(315) 464-3835
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
326308
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4988049
GOVERNMENT ISSUE
PR
01
—
567181820
GOVERNMENT ISSUE
NY
01
—
VM681079
LICENSE
OH
Enumeration date
09/24/2014
Last updated
10/28/2024
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