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Contact Information

DAVID M ORTIZ, MD
1515 W FIR
PORTALES, NM88130
 Phone: 505-356-6695
 Fax: 505-356-5948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DAVID M ORTIZ · (Male)

NPI # 1801850151
Status Active
Credentials MD
Entity Individual
Enumeration date 04/13/2006
Last updated 04/17/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 20030042
  • NM Medicaid 87250322
Hospital affiliation(s)
  • MOSES H CONE MEMORIAL HOSPITAL THE - (Acute Care)
    1200 N ELM ST
    GREENSBORO, NC 27401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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