Individual
JOSE D ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10701 EAST BLVD, CARDIOLOGY SECTION MAIL SYMBOL 111(W), CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 421-3066
Mailing address
10701 EAST BLVD, CARDIOLOGY SECTION MAIL SYMBOL 111(W), CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 421-3066
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-070454
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221206
UNISON
OH
01
—
000000503653
ANTHEM
—
05
—
2136763
—
OH
01
—
363895
WELLCARE
OH
01
—
741759
BUCKEYE
OH
01
—
7667009
AETNA
OH
01
—
P00258753
RAILROAD MEDICARE
OH
01
—
P00358823
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
09/16/2014
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