Ortiz, David M
Ortiz, David M is an individual health care provider with primary practice located at 1515 W Fir , Portales NM 88130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ortiz, David M can be contacted via phone (505) 356-6695.Contact Information
Primary practice address
1515 W Fir
Portales NM 88130
Phone: (505) 356-6695
Fax: (505) 356-5948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20030042 | New Mexico |
Profile Details
| NPI number | 1801850151 |
|---|---|
| LBN Legal business name | Ortiz, David M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Apr 17th, 2008 - about 16 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 | 1801850151 | NPPES |
| New Mexico | MEDICAID | 87250322 |
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