MEDICARE: JUAN CARLOS ORTEGA M.D.

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
1	207Q00000X	Family Medicine Physician	K9861	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1720074529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN CARLOS ORTEGA M.D.

Provider Business Mailing Address
First Line	:	3101 HWY 71 E
Second Line	:	SUITE 101
City	:	BASTROP
State	:	TX
Zip	:	78602
Country	:	US
Telephone Number	:	361-865-3561
Fax Number	:	361-865-3935

Provider Business Practice Location Address
First Line	:	3101 HWY 71 E
Second Line	:	SUITE 101
City	:	BASTROP
State	:	TX
Zip	:	78602
Country	:	US
Telephone Number	:	512-304-0300
Fax Number	:	512-304-0341

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	12/11/2015

Similar Medicare Providers

1700737962 — BRYLEIGH MACGREGOR
Practice Location Address:

806 WATER ST
BASTROP, TX
78602-3832

Practice Phone: 512-409-3116
Practice Fax:

1902801871 — DR. DOUGLAS ALAN WALDMAN M.D.
Practice Location Address:

117 ROSEMARY CT
BASTROP, TX
78602-2239

Practice Phone: 903-926-4861
Practice Fax: 888-926-1513

1134128374 — JUAN MANUEL GONZALEZ M.D.
Practice Location Address:

117 CIBOLO CREEK LOOP
BASTROP, TX
78602-2246

Practice Phone: 361-541-2756
Practice Fax:

1932195708 — SILVER PINES NURSING AND REHABILITATION LP
Practice Location Address:

503 OLD AUSTIN HWY
BASTROP, TX
78602-5016

Practice Phone: 512-321-6220
Practice Fax: 512-321-6616

1487642260 — MRS. CAROL O LUCAS CRNA
Practice Location Address:

3201 HIGHWAY 71 E
BASTROP, TX
78602-5126

Practice Phone: 512-751-0753
Practice Fax:

1275521726 — DEBORAH SUSAN JONES OD
Practice Location Address:

1412 W STATE HIGHWAY 71 , SUITE 109
BASTROP, TX
78602-3485

Practice Phone: 512-303-5959
Practice Fax: 512-332-2332

Directions to “ JUAN CARLOS ORTEGA M.D.” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.