Provider Demographics
NPI:1811958945
Name:ORTIZ, AURELIO ANTONIO JR (MD)
Entity type:Individual
Prefix:DR
First Name:AURELIO
Middle Name:ANTONIO
Last Name:ORTIZ
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2150 CORAL WAY
Mailing Address - Street 2:FL 2
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2629
Mailing Address - Country:US
Mailing Address - Phone:305-587-1752
Mailing Address - Fax:305-402-2702
Practice Address - Street 1:2150 CORAL WAY
Practice Address - Street 2:FL 2
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2629
Practice Address - Country:US
Practice Address - Phone:305-587-1752
Practice Address - Fax:305-402-2702
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2022-08-24
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Provider Licenses
StateLicense IDTaxonomies
FLME 89665207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA492690224AMedicaid
FLP00140521OtherRAILROAD MEDICARE
FL2702452-00Medicaid
FLD60165Medicare UPIN
FL48086ZMedicare PIN
1952352528OtherNPI