Individual
CARLOS ENRIQUE ORTIZ JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5000
Mailing address
44552 BAYVIEW AVE APT 26309, CLINTON TOWNSHIP, MI 48038-7360
(787) 206-9271
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
01/12/2024
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