Individual provider Active NPI

Marisol Rivera Ortiz

  • Emergency Registered Nurse
  • Porter, TX
National Provider Identifier
1326748856
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
9521298 Issued in FL
Practice address
6171 Dunsmore Canyon LN
Porter, TX 77365-7189
Phone
(863) 263-5145
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 9521298 FL Primary

Addresses

Primary practice location

6171 Dunsmore Canyon LN
Porter, TX 77365-7189

Mailing address

6171 Dunsmore Canyon LN
Porter, TX 77365-7189
Phone (863) 263-5145

Other identifiers 1

IdentifierTypeStateIssuer
9521298MedicaidFL

Other names 1

  • Ms. Marisol River Ortiz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9521298FLMDEmergency Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1326748856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6171 DUNSMORE CANYON LN",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657189",
            "telephone_number": "863-263-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 DUNSMORE CANYON LN",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657189",
            "telephone_number": "863-263-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ORTIZ",
        "first_name": "MARISOL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "9521298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9521298",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISOL",
            "last_name": "RIVER ORTIZ",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Porter, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.