Provider Demographics
NPI:1356569446
Name:ORTEGA, MAGALI
Entity type:Individual
Prefix:
First Name:MAGALI
Middle Name:
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5822 SUN BAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78244-3295
Mailing Address - Country:US
Mailing Address - Phone:210-662-7705
Mailing Address - Fax:210-662-7705
Practice Address - Street 1:5822 SUN BAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78244-3295
Practice Address - Country:US
Practice Address - Phone:210-662-7705
Practice Address - Fax:210-662-7705
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home