Provider Demographics
NPI:1639479066
Name:ORTIZ RIVERA, ZULMARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ZULMARIE
Middle Name:
Last Name:ORTIZ RIVERA
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 1:350 NE 24TH ST
Mailing Address - Street 2:APT 804
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4872
Mailing Address - Country:US
Mailing Address - Phone:787-512-1758
Mailing Address - Fax:
Practice Address - Street 1:1500 SAN REMO AVE
Practice Address - Street 2:SUITE 360
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3043
Practice Address - Country:US
Practice Address - Phone:786-527-9172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17964207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine