Provider Demographics
NPI:1831372838
Name:ORTIZ, CECILIA GARCIA (GNP-BC)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:GARCIA
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:GNP-BC
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7400 MERTON MINTER BOULEVARD
Mailing Address - Street 2:GEM CLINIC 18C
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4404
Mailing Address - Country:US
Mailing Address - Phone:210-617-5300
Mailing Address - Fax:210-949-3445
Practice Address - Street 1:7400 MERTON MINTER BOULEVARD
Practice Address - Street 2:GEM CLINIC 18C
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:210-949-3445
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP115935363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology