Provider Demographics
NPI:1407147093
Name:ORTA NIEVES, LEAH AILED (MD)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:AILED
Last Name:ORTA NIEVES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 IRVING ST NW
Mailing Address - Street 2:DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3017
Mailing Address - Country:US
Mailing Address - Phone:202-877-8035
Mailing Address - Fax:202-877-5435
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-8531
Practice Address - Fax:877-544-7752
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-29
Last Update Date:2015-09-28
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEMD043468207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology