Doctor Name: | ALEXANDER ORTIZ |
NPI Number: | 1457511297 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 789 Central Ave Emergency Dept Dover, NH - 038202526 |
Business Phone Number: | 6314442754 |
Business Fax Number: | 6314446031 |
Mailing Address: | Po Box 845398, BOSTON |
State: | MA |
Postal Code: | 022845398 |
Phone Number: | 6037425252 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2008 |
NPI Last Update Date: | 12/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |