Individual
DIANA ISABEL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3661 S MIAMI AVE, SUITE 708, MIAMI, FL 33133-4236
(305) 856-1002
(877) 501-4190
Mailing address
3661 S MIAMI AVE, SUITE 708, MIAMI, FL 33133-4236
(305) 856-1002
(877) 501-4190
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME124832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710119722
—
WI
Enumeration date
08/10/2009
Last updated
08/19/2015
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