Individual
LUIS R RODRIGUEZ-ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-3003
(404) 778-3800
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-3800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
99472
GA
2085R0202X
Diagnostic Radiology Physician
ME154580
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114739200
—
FL
Enumeration date
10/28/2015
Last updated
06/30/2024
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