Healthcare Provider Details

I. General information

NPI: 1265172431
Provider Name (Legal Business Name): CAROLINA ISABEL ORTIZ VILLABONA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3820 OLENTANGY RIVER RD
COLUMBUS OH
43214-5403
US

IV. Provider business mailing address

3820 OLENTANGY RIVER RD
COLUMBUS OH
43214-5403
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-4414
  • Fax: 614-566-6846
Mailing address:
  • Phone: 614-566-4414
  • Fax: 614-566-6846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35.155127
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: