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General NPI Number Information
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NPI Number | 1235042748
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Entity Type | Organization
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Legal Business Name | ORTIZ MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 4580 S EASTERN AVE STE 29B
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City | LAS VEGAS
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State | NV
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Zip | 89119-6100
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Country | US
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Telephone | 786-725-1341
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Fax |
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Provider Business Mailing Address
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Address Line | 4580 S EASTERN AVE STE 29B
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City | LAS VEGAS
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State | NV
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Zip | 89119-6100
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Country | US
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Telephone | 786-725-1341
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | JULIO R ORTIZ GONZALEZ
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Credential | APRN
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Telephone | 786-725-1341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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