Provider Demographics
NPI:1497722078
Name:ORTIZ, YVETTE (MD)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7593 W BOYNTON BEACH BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6162
Mailing Address - Country:US
Mailing Address - Phone:561-678-2652
Mailing Address - Fax:
Practice Address - Street 1:9750 NW 33RD ST STE 212
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4081
Practice Address - Country:US
Practice Address - Phone:954-546-2688
Practice Address - Fax:954-546-2633
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY186421207R00000X, 208M00000X
FLME165982207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11C022OtherCPP
NY11P7371OtherNYPCHP
NY134031158Other1199
NY134031158OtherMULTIPLAN
NY31/01400OtherBX HEALTH CARE
NY48J181OtherBC/BS
NY134031158Other32BJ
NY2C1004OtherAFFINTY/PHS
NY2C1004OtherHEALTH NET
NY2152607OtherAETNA
NY8102794002OtherCIGNA
NYGP326OtherOXFORD
NY01569575Medicaid
NY1913815OtherUNITED HEALTH CARE
NY134031158OtherMULTIPLAN
NY134031158Other32BJ
NY2152607OtherAETNA