Provider Demographics
NPI:1508852674
Name:ORTEGA, JORGE MIGUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:MIGUEL
Last Name:ORTEGA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8600 SW 92ND ST
Mailing Address - Street 2:SUITE 204A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7397
Mailing Address - Country:US
Mailing Address - Phone:305-443-9933
Mailing Address - Fax:305-500-2137
Practice Address - Street 1:198 NW 37TH AVE FL 2
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4826
Practice Address - Country:US
Practice Address - Phone:305-267-5544
Practice Address - Fax:305-500-2133
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2023-01-31
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Provider Licenses
StateLicense IDTaxonomies
FLME53973207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL064374200Medicaid
FLE67472Medicare UPIN
FL09813SMedicare PIN