Provider Demographics
NPI:1023313152
Name:ORTEGA, MARIA C (NURSE PRACTIONER)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:C
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:NURSE PRACTIONER
Other - Prefix:
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Mailing Address - Street 1:13930 SW 47TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-4400
Mailing Address - Country:US
Mailing Address - Phone:786-717-6974
Mailing Address - Fax:844-270-1091
Practice Address - Street 1:13930 SW 47TH ST STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-4400
Practice Address - Country:US
Practice Address - Phone:855-226-6633
Practice Address - Fax:866-285-7068
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9197225363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLNP 9197225OtherLICENSE