Provider Demographics
NPI:1992862890
Name:ORTIZ MANAGEMENT GROUP INC
Entity Type:Organization
Organization Name:ORTIZ MANAGEMENT GROUP INC
Other - Org Name:SANTA RITA PRIMARY HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:PAT
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-717-8583
Mailing Address - Street 1:5500 TESORO PLZ
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5751
Mailing Address - Country:US
Mailing Address - Phone:956-717-8583
Mailing Address - Fax:956-712-2290
Practice Address - Street 1:5500 TESORO PLZ
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5751
Practice Address - Country:US
Practice Address - Phone:956-717-8583
Practice Address - Fax:956-712-2290
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANTA RITA PRIMARY HOME CARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-02
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006608251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health