Provider Demographics
NPI:1174787576
Name:TUPAYACHI ORTIZ, MARIA GABRIELA (MD)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:GABRIELA
Last Name:TUPAYACHI ORTIZ
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1600 NW 10TH AVE
Mailing Address - Street 2:RM 7056
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1015
Mailing Address - Country:US
Mailing Address - Phone:305-243-6388
Mailing Address - Fax:305-243-6372
Practice Address - Street 1:1600 NW 10TH AVE
Practice Address - Street 2:RM 7056
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1015
Practice Address - Country:US
Practice Address - Phone:305-243-6388
Practice Address - Fax:305-243-6372
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2020-05-05
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Provider Licenses
StateLicense IDTaxonomies
KY46755207RC0200X, 207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine