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NPI Code Detail

MEDICARE: RAUL ALEJANDRO ORTEGA

MEDICARE:   RAUL ALEJANDRO ORTEGA
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
1225200000XPhysical Therapy Assistant5502006101MI

General Provider Information

NPI Number : 1225661861
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAUL ALEJANDRO ORTEGA
Provider Business Mailing Address
First Line : 10186 US HIGHWAY 31
Second Line :
City : BERRIEN SPRINGS
State : MI
Zip : 49103-9548
Country : US
Telephone Number : 402-707-3139
Fax Number :
Provider Business Practice Location Address
First Line : 1211 STATELINE RD
Second Line :
City : NILES
State : MI
Zip : 49120-4729
Country : US
Telephone Number : 269-684-2810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2020
Last Update Date : 02/21/2020

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Directions to “ RAUL ALEJANDRO ORTEGA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.