Individual
MR. SANTOS EFRAIN ORTIZ
Active
Individual
MR. SANTOS EFRAIN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
45-4325039
GA
3416L0300X
Land Ambulance
45-4325039
GA
343900000X
Non-emergency Medical Transport (VAN)
Primary
45-4325039
GA
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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