Provider Demographics
NPI:1700027430
Name:ORTIZ, ADOLFO TRINIDAD (FNP)
Entity Type:Individual
Prefix:MR
First Name:ADOLFO
Middle Name:TRINIDAD
Last Name:ORTIZ
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2702 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-5402
Mailing Address - Country:US
Mailing Address - Phone:480-241-6244
Mailing Address - Fax:
Practice Address - Street 1:2702 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-5402
Practice Address - Country:US
Practice Address - Phone:480-241-6244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8758363LF0000X
FLARNP9260562363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily