Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 35122948 | OH |
N | 204F00000X | Transplant Surgeon | L9407 | TX |
N | 204F00000X | Transplant Surgeon | MD-072163-L | PA |
N | 208200000X | Surgeon | L9407 | TX |
N | 208600000X | Surgeon | L9407 | TX |
NPI | 1154388809 |
---|---|
Provider Name | Dr. Jorge A. Ortiz |
First Address | Toledo, OH 43614-2426 |
Second Address | Toledo, OH 43614 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 07/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0107572 | (05) | OH |