MEDICARE: CAMILE ORTEGA D.O.

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	2080P0201X	Pediatric Allergy/Immunology Physician	OS14603	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1598185480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILE ORTEGA D.O.

Provider Business Mailing Address
First Line	:	16371 NW 67TH AVE
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-6044
Country	:	US
Telephone Number	:	786-646-9280
Fax Number	:

Provider Business Practice Location Address
First Line	:	16371 NW 67TH AVE
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-6044
Country	:	US
Telephone Number	:	786-646-9280
Fax Number	:

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

Provider Enumeration Date	:	04/18/2014
Last Update Date	:	10/24/2019

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Directions to “ CAMILE ORTEGA D.O.” Practice Location

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