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Individual

DR. MARIA ORTIZ-REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
15101 FORD RD, DEARBORN, MI 48126-4611
(313) 582-2769
(313) 846-7708
Mailing address
701 MAIDEN CHOICE LN, BALTIMORE, MD 21228-5968
(410) 247-5602
(410) 247-1756

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301072971
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-32823
EVERCARE
01
1109500531
BCBS MI
05
1891880837
MI
01
22-3695886001
TRICARE NORTH
Enumeration date
10/04/2006
Last updated
06/24/2009
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