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NPI Code Detail

MEDICARE: MRS. HILARY C ORTEGA P.A.-C.

MEDICARE: MRS. HILARY C ORTEGA P.A.-C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant80PA013NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346317526
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HILARY C ORTEGA P.A.-C.
Provider Business Mailing Address
First Line : PO BOX 158
Second Line : EL CENTRO FAMILY HEALTH
City : ESPANOLA
State : NM
Zip : 87532-0158
Country : US
Telephone Number : 505-753-7218
Fax Number : 505-753-5815
Provider Business Practice Location Address
First Line : 2010 INDUSTRIAL PARK RD
Second Line : EL CENTRO FAMILY HEALTH RAHC CLINIC
City : ESPANOLA
State : NM
Zip : 87532-3600
Country : US
Telephone Number : 505-753-7395
Fax Number : 505-753-8373
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 01/22/2013

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