Doctor Name: | NYRMA NOEMI ORTIZ |
NPI Number: | 1861767519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME0072074 |
Business Practice Address: | 2900 W Prospect Rd Tamarac, FL - 333092519 |
Business Phone Number: | 9547315100 |
Business Fax Number: | 9547356624 |
Mailing Address: | 4700 N State Road 7 Ste 201, LAUDERDALE LAKES |
State: | FL |
Postal Code: | 333195804 |
Phone Number: | 9547771617 |
Fax Number: | 9544953857 |
NPI Enumeration Date: | 03/14/2012 |
NPI Last Update Date: | 03/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME0072074 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |