Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 9197225 | FL |
NPI | 1023313152 |
---|---|
Provider Name | Ms. Maria C Ortega |
First Address | Miami, FL 33175-4400 |
Second Address | Miami, FL 33175-4400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2011 |
Last Update Date | 22/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NP 9197225 | LICENSE (01) | FL |