MEDICARE: DR. VILMA ORTEGA MD

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	207V00000X	Obstetrics & Gynecology Physician	D0085862	MD
2	207V00000X	Obstetrics & Gynecology Physician	12220	PR

General Provider Information

NPI Number	:	1750381794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VILMA ORTEGA MD

Provider Business Mailing Address
First Line	:	26005 RIDGE RD STE 200
Second Line	:
City	:	DAMASCUS
State	:	MD
Zip	:	20872-1899
Country	:	US
Telephone Number	:	301-414-2300
Fax Number	:	301-414-2306

Provider Business Practice Location Address
First Line	:	26005 RIDGE RD STE 200
Second Line	:
City	:	DAMASCUS
State	:	MD
Zip	:	20872-1899
Country	:	US
Telephone Number	:	301-414-2300
Fax Number	:	301-414-2306

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

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	10/16/2018

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Directions to “ DR. VILMA ORTEGA MD” Practice Location

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