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NPI Code Detail

MEDICARE: DR. ANGELICA GABRIELA ORTIZ M.D.

MEDICARE:  DR. ANGELICA GABRIELA ORTIZ  M.D.
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
1207W00000XOphthalmology PhysicianME150839FL

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 : 1396109898
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELICA GABRIELA ORTIZ M.D.
Provider Business Mailing Address
First Line : 17900 NW 5TH ST STE 204
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33029-2809
Country : US
Telephone Number : 305-222-7082
Fax Number :
Provider Business Practice Location Address
First Line : 17900 NW 5TH ST STE 204
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33029-2809
Country : US
Telephone Number : 305-222-7082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2016
Last Update Date : 12/10/2025

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Directions to “ DR. ANGELICA GABRIELA ORTIZ M.D.” Practice Location

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