Provider Demographics
NPI:1902813413
Name:ORTEGA, MARCO ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCO
Middle Name:ANTONIO
Last Name:ORTEGA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:500 MARKAVIEW RD NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-3652
Mailing Address - Country:US
Mailing Address - Phone:256-533-8477
Mailing Address - Fax:256-534-1580
Practice Address - Street 1:500 MARKAVIEW RD NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-3652
Practice Address - Country:US
Practice Address - Phone:256-533-8477
Practice Address - Fax:256-534-1580
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2020-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK6667207R00000X
IN01048083A207R00000X
FLME75686207R00000X
AL21406207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine