MEDICARE: JACOB PETE ORTEGA

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1417816398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB PETE ORTEGA

Provider Business Mailing Address
First Line	:	7108 S KANNER HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-7462
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3488 MERIDALE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3957
Country	:	US
Telephone Number	:	725-227-4657
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

Similar Medicare Providers

1194586248 — MARVELYN NAVARRO RDH
Practice Location Address:

1930 VILLAGE CENTER CIR STE 3957
LAS VEGAS, NV
89134-6299

Practice Phone: 714-292-3291
Practice Fax:

1245221852 — MISS MARIFLOR RAMIREZ MT
Practice Location Address:

68 CALLE BARBOSA
LAS PIEDRAS, PR
00771-3957

Practice Phone: 787-733-7888
Practice Fax: 787-733-2475

1841247772 — GIL ANGEL NIEVES M.D.
Practice Location Address:

68 CALLE BARBOSA
LAS PIEDRAS, PR
00771-3957

Practice Phone: 787-733-2444
Practice Fax:

1568866176 — EVA SUNIGA CRNA
Practice Location Address:

3957 AGUA DE VIDA DR
LAS CRUCES, NM
88012-7669

Practice Phone: 505-250-9537
Practice Fax:

1952171308 — GET IT TOGETHER THERAPY, LLC
Practice Location Address:

1730 TIERRA DE MESILLA STE 1
LAS CRUCES, NM
88005-3957

Practice Phone: 575-386-5269
Practice Fax:

1366252520 — THE ZEN MONKEY MENTAL HEALTH COMPANY LLC
Practice Location Address:

1730 TIERRA DE MESILLA STE 3A
LAS CRUCES, NM
88005-3957

Practice Phone: 575-649-5131
Practice Fax:

Directions to “ JACOB PETE ORTEGA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.