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NPI Code Detail

MEDICARE: JESUS ORTIZ JR FNP-C

MEDICARE: JESUS ORTIZ JR FNP-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
1163W00000XRegistered Nurse873470TX
2363LF0000XFamily Nurse Practitioner1116571TX

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 : 1598242257
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESUS ORTIZ JR FNP-C
Provider Business Mailing Address
First Line : 1908 N LAURENT ST STE 250
Second Line :
City : VICTORIA
State : TX
Zip : 77901-5417
Country : US
Telephone Number : 956-487-3996
Fax Number : 956-513-0687
Provider Business Practice Location Address
First Line : 2530 CENTRAL PALM DR
Second Line :
City : RIO GRANDE CITY
State : TX
Zip : 78582-6648
Country : US
Telephone Number : 956-487-3996
Fax Number : 956-513-0687
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2018
Last Update Date : 03/09/2026

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