MEDICARE: SILVIA Y. ORTIZ

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	363A00000X	Physician Assistant		VA

General Provider Information

NPI Number	:	1972135309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILVIA Y. ORTIZ

Provider Business Mailing Address
First Line	:	5318 LIMESTONE DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23224-4720
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 E BELT BLVD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23224-1204
Country	:	US
Telephone Number	:	804-292-3011
Fax Number	:

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

Provider Enumeration Date	:	02/04/2020
Last Update Date	:	05/19/2022

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Directions to “ SILVIA Y. ORTIZ ” Practice Location

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