Doctor Name: | ISMAEL ORTEGO JAMORA |
NPI Number: | 1033217914 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 10222 |
Business Practice Address: | 2520 Valley Dr Suite # 116 Pt Pleasant, WV - 255502031 |
Business Phone Number: | 3046755188 |
Business Fax Number: | 3046753811 |
Mailing Address: | Po Box 236, PT PLEASANT |
State: | WV |
Postal Code: | 255500236 |
Phone Number: | 3046755188 |
Fax Number: | 3046755893 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 12/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 10222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |