| Doctor Name: | LAUREANO ANTONIO ORTUZAR |
| NPI Number: | 1083864839 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | ME28500 |
| Business Practice Address: | 8300 Sw 8th St Ste 302 Miami, FL - 331444132 |
| Business Phone Number: | 3052254434 |
| Business Fax Number: | |
| Mailing Address: | 5320 E 5th Ave, HIALEAH |
| State: | FL |
| Postal Code: | 330131547 |
| Phone Number: | 3056874429 |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2008 |
| NPI Last Update Date: | 09/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME28500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |