Provider Demographics
NPI:1285682930
Name:ORTIZ, ALAIN RENE (MD)
Entity Type:Individual
Prefix:
First Name:ALAIN
Middle Name:RENE
Last Name:ORTIZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5555 ANGLERS AVENUE SUITE 24
Mailing Address - Street 2:FLORIDA UNITED RADIOLOGY
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312
Mailing Address - Country:US
Mailing Address - Phone:954-962-6265
Mailing Address - Fax:954-893-9595
Practice Address - Street 1:20900 BISCAYNE BOULEVARD
Practice Address - Street 2:AVENTURA HOSPITAL AND MEDICAL CENTER
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:305-682-7398
Practice Address - Fax:305-937-6988
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME922542085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I13620Medicare UPIN
FLU6386Medicare ID - Type Unspecified