Provider Demographics
NPI:1205538592
Name:PIAZZA ORTIZ, ANGELO MANUEL (MD)
Entity type:Individual
Prefix:
First Name:ANGELO
Middle Name:MANUEL
Last Name:PIAZZA ORTIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10175 GATEWAY BLVD WEST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925
Mailing Address - Country:US
Mailing Address - Phone:915-218-8828
Mailing Address - Fax:
Practice Address - Street 1:LAS PALMAS DEL SOL INTERNAL MEDICINE
Practice Address - Street 2:10175 GATEWAY BLVD WEST MEDICAL PLAZA II SUITE 140
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925
Practice Address - Country:US
Practice Address - Phone:915-283-3953
Practice Address - Fax:915-283-3954
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program