Provider Demographics
NPI:1467458109
Name:ORTIZ, MARIA (MS CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5525 SW 86TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-8306
Mailing Address - Country:US
Mailing Address - Phone:786-271-3674
Mailing Address - Fax:
Practice Address - Street 1:8940 N KENDALL DR
Practice Address - Street 2:SUITE 504E
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2148
Practice Address - Country:US
Practice Address - Phone:305-595-6200
Practice Address - Fax:305-598-4071
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAY2746OtherSTATE AUDIOLOGY LICENSE