Doctor Name: | MIGUEL ANTONIO ORTIZ |
NPI Number: | 1053372714 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 112448 |
Business Practice Address: | 100 Emancipation Dr Vha Medical Center Hampton, VA - 236670001 |
Business Phone Number: | 7577229961 |
Business Fax Number: | 7577287120 |
Mailing Address: | 7501 River Rd, Windward Towers South - 3a NEWPORT NEWS |
State: | VA |
Postal Code: | 236071767 |
Phone Number: | 7572327758 |
Fax Number: | 7577287120 |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | 112448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |