Provider Demographics
NPI:1881870335
Name:ORTIZ, MARIA IRMA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:IRMA
Last Name:ORTIZ
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 1:5829 RAILWAY ST
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-9566
Mailing Address - Country:US
Mailing Address - Phone:956-735-8351
Mailing Address - Fax:
Practice Address - Street 1:5829 RAILWAY ST
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-9566
Practice Address - Country:US
Practice Address - Phone:956-735-8351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator