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Individual

ROSA MAYELA MICHEL ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3601 CCI DR NW, HUNTSVILLE, AL 35805-2606
(256) 705-4224
(256) 705-4135
Mailing address
PO BOX 18428, HUNTSVILLE, AL 35804-8428
(256) 705-4224
(256) 705-4135

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
34767
AL
207RX0202X
Medical Oncology Physician
34767
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
263544
AL
01
A11821L138
MEDICARE PTAN
AL
01
Q00029724
RAILROAD MEDICARE
AL
Enumeration date
07/14/2010
Last updated
11/05/2025
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