Individual
DR. JOSE OCTAVIO ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL 35205-1636
(205) 939-3699
(205) 484-2585
Mailing address
805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL 35205-1636
(205) 939-3699
(205) 484-2585
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
21877
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912671
—
AL
01
—
51006177
BCBS
AL
01
—
51521092
BCBS
AL
Enumeration date
03/01/2006
Last updated
05/05/2025
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