Provider Demographics
NPI:1366642571
Name:ORTIZ MANAGEMENT GROUP, INC.
Entity Type:Organization
Organization Name:ORTIZ MANAGEMENT GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:PAT
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-712-8433
Mailing Address - Street 1:5500 TESORO PLZ
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5751
Mailing Address - Country:US
Mailing Address - Phone:956-712-8433
Mailing Address - Fax:956-712-2290
Practice Address - Street 1:5500 TESORO PLZ
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5751
Practice Address - Country:US
Practice Address - Phone:956-712-8433
Practice Address - Fax:956-712-2290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management