Provider Demographics
NPI:1932266624
Name:DOS HERMANAS ORTIZ, INC.
Entity Type:Organization
Organization Name:DOS HERMANAS ORTIZ, INC.
Other - Org Name:SANTA RITA ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:PAT
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-717-8614
Mailing Address - Street 1:666 PRADA-MACHIN,
Mailing Address - Street 2:UNIT 8
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78046-8499
Mailing Address - Country:US
Mailing Address - Phone:956-717-8614
Mailing Address - Fax:956-717-8161
Practice Address - Street 1:666 PRADA-MACHIN, UNIT 8
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78046-8499
Practice Address - Country:US
Practice Address - Phone:956-717-8614
Practice Address - Fax:956-717-8161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118232261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care