Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MA08576100 | NJ |
N | 111NI0900X | Internist | 25MA08576100 | NJ |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD206057 | LA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | MD206057 | LA |
NPI | 1245474410 |
---|---|
Provider Name | Ronnie Orlando Ortiz |
First Address | Morristown, NJ 07960-5433 |
Second Address | Morristown, NJ 07960-5433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2009 |
Last Update Date | 12/05/2016 |