Individual
DR. KAREL JILL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2220 GRANDE BLVD SE STE B, RIO RANCHO, NM 87124-1687
(505) 896-2900
(505) 938-4198
Mailing address
2220 GRANDE BLVD SE STE B, RIO RANCHO, NM 87124-1687
(505) 896-2900
(505) 938-4198
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD2005-0405
NM
207NS0135X
Procedural Dermatology Physician
MD2005-0405
NM
207ZD0900X
Dermatopathology (Pathology) Physician
MD2005-0405
NM
Other
Enumeration date
06/02/2006
Last updated
05/22/2014
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