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NPI Code Detail

MEDICARE: MR. CARLOS D. ORTIZ LMHC

MEDICARE: MR. CARLOS D. ORTIZ LMHC
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
1101YM0800XMental Health Counselor005286NY

General Provider Information

NPI Number : 1548601008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CARLOS D. ORTIZ LMHC
Provider Business Mailing Address
First Line : 2429 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-2801
Country : US
Telephone Number : 347-305-7200
Fax Number : 718-518-7647
Provider Business Practice Location Address
First Line : 2429 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-2801
Country : US
Telephone Number : 347-305-7200
Fax Number : 718-518-7647
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2013
Last Update Date : 07/12/2013

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