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Individual

WILFREDO RIVERA-ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2318 MANATEE AVE W, BRADENTON, FL 34205-5432
(941) 714-7150
(941) 741-3242
Mailing address
700 8TH AVE W, STE 101, PALMETTO, FL 34221-4737
(941) 776-4008
(941) 845-4963

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME64315
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00449
UNIVERSAL
FL
01
149290
WELLCARE
FL
01
1755356
MEDICARE COMPLETE
FL
01
191968
AMERIGROUP
FL
01
23697
BCBS
FL
05
373435800
FL
01
584178469
TRICARE
FL
01
P00017941
RAILROAD
FL
01
P102212
FREEDOM HEALTH
FL
Enumeration date
03/02/2006
Last updated
03/24/2017
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