Provider Demographics
NPI:1326323361
Name:ORTIZ-COFFIE, ADRIANA CELENA (CRNA)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:CELENA
Last Name:ORTIZ-COFFIE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4656 CANOPY GROVE DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-7049
Mailing Address - Country:US
Mailing Address - Phone:561-267-5597
Mailing Address - Fax:
Practice Address - Street 1:10301 HAGEN RANCH RD STE D720
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3777
Practice Address - Country:US
Practice Address - Phone:561-267-5597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9185276163W00000X, 367500000X
TX726095163W00000X
GARN221929367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse