Provider Demographics
NPI:1508365891
Name:ORTIZ, DAISY ELIZABETH (CD)
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:ELIZABETH
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 S 45TH ST APT 5
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2990
Mailing Address - Country:US
Mailing Address - Phone:773-715-4623
Mailing Address - Fax:
Practice Address - Street 1:230 S 45TH ST APT 5
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-2990
Practice Address - Country:US
Practice Address - Phone:773-715-4623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula