Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD452135 | PA |
N | 111NI0900X | Internist | MD452135 | PA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME119349 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | ME119349 | FL |
NPI | 1952697641 |
---|---|
Provider Name | Yahaira Ortiz Gonzalez |
First Address | Kissimmee, FL 34744-1617 |
Second Address | Kissimmee, FL 34744-1617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2011 |
Last Update Date | 07/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
014105900 | (05) | FL |