Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 31724 | PR |
N | 207RC0000X | Internist - Cardiovascular Disease | A153609 | CA |
Y | 207RC0000X | Internist - Cardiovascular Disease | ME139647 | FL |
NPI | 1023363850 |
---|---|
Provider Name | Dr. Jonathan Rodriguez Ortiz |
First Address | Orlando, FL 32806-1215 |
Second Address | Orlando, FL 32806-1215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2012 |
Last Update Date | 19/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102324200 | (05) | FL |