Healthcare Provider Details

I. General information

NPI: 1144131590
Provider Name (Legal Business Name): CARLOTA GIL DE ORTIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5513 HARVEY LN
ALEXANDRIA VA
22312-6432
US

IV. Provider business mailing address

5513 HARVEY LN
ALEXANDRIA VA
22312-6432
US

V. Phone/Fax

Practice location:
  • Phone: 571-438-4719
  • Fax:
Mailing address:
  • Phone: 571-438-4719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200006907
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: