Healthcare Provider Details

I. General information

NPI: 1821910076
Provider Name (Legal Business Name): CESAR ANDRES ORTIZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 MERIDA DR
ANTHONY NM
88021-8225
US

IV. Provider business mailing address

12264 TIERRA AZTECA DR
EL PASO TX
79938-4802
US

V. Phone/Fax

Practice location:
  • Phone: 575-201-5106
  • Fax: 575-201-5124
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: