Individual
DONALD J ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1821 CARLISLE BLVD NE, MIDTOWN FAMILY MEDICINE, ALBUQUERQUE, NM 87110-4905
(505) 255-1228
(505) 255-1394
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
92-323
NM
208D00000X
General Practice Physician
92-323
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000F7906
—
NM
Enumeration date
08/30/2006
Last updated
10/29/2024
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