Ortega, Ismael
Ortega, Ismael is an individual health care provider with primary practice located at 1223 Gateway Dr Ste 2G , Melbourne FL 32901-2607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ortega, Ismael can be contacted via phone (321) 312-3499.Contact Information
Primary practice address
1223 Gateway Dr Ste 2G
Melbourne FL 32901-2607
Phone: (321) 312-3499
Fax: (321) 768-5082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME101029 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME101029 | Florida |
Profile Details
| NPI number | 1518131333 |
|---|---|
| LBN Legal business name | Ortega, Ismael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2008 |
| Last updated | Feb 28th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518131333 | NPPES |
| Florida | Other | P01164163 | RR MEDICARE |
| Florida | MEDICAID | 281088301 | RR MEDICARE |
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