MEDICARE: KATHIA A. ORTIZ-CANTILLO M.D,

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	207RS0012X	Sleep Medicine (Internal Medicine) Physician	036108607	IL
2	207RP1001X	Pulmonary Disease Physician	036108607	IL
3	207RP1001X	Pulmonary Disease Physician	N1036	TX
4	207RS0012X	Sleep Medicine (Internal Medicine) Physician	ME137299	FL
5	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036108607	IL
6	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME137299	FL
7	207RP1001X	Pulmonary Disease Physician	ME137299	FL

General Provider Information

NPI Number	:	1841301140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHIA A. ORTIZ-CANTILLO M.D,

Provider Business Mailing Address
First Line	:	2333 YARD ARM WAY
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32034-6001
Country	:	US
Telephone Number	:	210-422-4537
Fax Number	:	904-376-4107

Provider Business Practice Location Address
First Line	:	1411 S 14TH ST STE A
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32034-3092
Country	:	US
Telephone Number	:	904-304-9068
Fax Number	:	904-263-5377

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/20/2026

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Directions to “ KATHIA A. ORTIZ-CANTILLO M.D,” Practice Location

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