Provider Demographics
NPI:1649762295
Name:ORTEGA, YOVANNA
Entity Type:Individual
Prefix:
First Name:YOVANNA
Middle Name:
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16162 SW 301ST ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-3381
Mailing Address - Country:US
Mailing Address - Phone:786-357-9218
Mailing Address - Fax:305-425-0269
Practice Address - Street 1:92330 OVERSEAS HWY STE 106
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2700
Practice Address - Country:US
Practice Address - Phone:786-357-9218
Practice Address - Fax:305-425-0269
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator