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NPI Code Detail

MEDICARE: MARITZA REYES ORTEGA FNP

MEDICARE: MARITZA REYES ORTEGA FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN9422402FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083190953
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARITZA REYES ORTEGA FNP
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 305-500-2000
Fax Number :
Provider Business Practice Location Address
First Line : 11000 SW 211TH ST
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-2804
Country : US
Telephone Number : 305-254-1500
Fax Number : 855-451-1860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2018
Last Update Date : 02/23/2026

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Directions to “ MARITZA REYES ORTEGA FNP” Practice Location

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