Healthcare Provider Details

I. General information

NPI: 1033263330
Provider Name (Legal Business Name): FELIZA A ORTEGA RDMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S WASHINGTON AVE
SAGINAW MI
48601-2551
US

IV. Provider business mailing address

5446 FROVAN PL
SAGINAW MI
48638-5571
US

V. Phone/Fax

Practice location:
  • Phone: 989-907-8019
  • Fax:
Mailing address:
  • Phone: 989-790-7169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: