Individual
MR. SAMUEL RIVERA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
10525 CLEVELAND AVE, KANSAS CITY, MO 64137-1621
(816) 606-5868
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
78432
KS
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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