Provider Demographics
NPI:1255140349
Name:ORTIZ TORRES, CARLOS RUBEN (FNP-C)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:RUBEN
Last Name:ORTIZ TORRES
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 PARK SQUARE CIR APT 422
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-1631
Mailing Address - Country:US
Mailing Address - Phone:787-421-2607
Mailing Address - Fax:
Practice Address - Street 1:1250 PARK SQUARE CIR APT 422
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-1631
Practice Address - Country:US
Practice Address - Phone:787-421-2607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11036954363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily