Healthcare Provider Details

I. General information

NPI: 1639027667
Provider Name (Legal Business Name): ORLANDO ORTEGA IZQUIERDO APRN CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 SW 117TH AVE STE 208
MIAMI FL
33183-4825
US

IV. Provider business mailing address

2450 SW 148TH CT
MIAMI FL
33185-5629
US

V. Phone/Fax

Practice location:
  • Phone: 305-226-8484
  • Fax:
Mailing address:
  • Phone: 786-359-9508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ORLANDO ORTEGA IZQUIERDO
Title or Position: NURSE PRACTITIONER
Credential: APRN
Phone: 786-359-9508