Betty Elizabeth Ortiz

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

License

120939 Issued in TX

Legal business name

BETTY ELIZABETH ORTIZ

Doing business as

Casa Bendita

Practice address

129 Palencia Ave
Laredo, TX 78046-8524

Phone

(956) 753-9205

NPI assigned

Aug 20, 2007

Last updated

Jul 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Betty Elizabeth Ortiz, PROVIDER

Title

Owner Operator

Phone

(956) 753-9205

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CASA BENDITA Doing business as

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1417140856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PALENCIA AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780468524",
            "telephone_number": "956-753-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 PALENCIA AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780468524",
            "telephone_number": "956-753-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY ELIZABETH ORTIZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "956-753-9205",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PROVIDER"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "TX",
            "license": "120939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120939",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASA BENDITA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Infusion Agency in Laredo, TX
• Providers in Laredo, TX by specialty
• Home Infusion Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.