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General NPI Number Information
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NPI Number | 1295820587
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Entity Type | Individual
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Provider Name | CARLOS R ORTIZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 350 PARRISH ST
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City | CANANDAIGUA
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State | NY
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Zip | 14424
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Country | US
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Telephone | 585-396-6606
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Fax | 585-396-6534
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Provider Business Mailing Address
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Address Line | 3938 CHARING CROSS RD
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City | CANANDAIGUA
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State | NY
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Zip | 14424
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Country | US
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Telephone | 585-905-0781
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 127894
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 127894
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License Number State | NY
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