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NPI Code Detail

MEDICARE: MARIANA ORTIZ

MEDICARE: MARIANA ORTIZ
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
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1831021039
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANA ORTIZ
Provider Business Mailing Address
First Line : 637 MARSH LN
Second Line :
City : LAREDO
State : TX
Zip : 78045-8408
Country : US
Telephone Number : 956-608-9275
Fax Number :
Provider Business Practice Location Address
First Line : 2110 LOMAS DEL SUR STE 114
Second Line :
City : LAREDO
State : TX
Zip : 78046-5751
Country : US
Telephone Number : 956-712-9111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ MARIANA ORTIZ ” Practice Location

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