Provider Demographics
NPI:1700194511
Name:AURELIO A. ORTIZ, MD, LLC
Entity Type:Organization
Organization Name:AURELIO A. ORTIZ, MD, LLC
Other - Org Name:CARDIOLOGY OF MIAMI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AURELIO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-587-1752
Mailing Address - Street 1:2150 CORAL WAY
Mailing Address - Street 2:FL 2
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2629
Mailing Address - Country:US
Mailing Address - Phone:305-587-1752
Mailing Address - Fax:305-402-2702
Practice Address - Street 1:2150 CORAL WAY
Practice Address - Street 2:FL 2
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2629
Practice Address - Country:US
Practice Address - Phone:305-587-1752
Practice Address - Fax:305-402-2702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89665207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL270245200Medicaid
FL492690224AOtherMEDICAID GA
FL270245200Medicaid