Steven Michael Ortiz II, RDN
Individual provider Active NPI Registered Dietitian · Coolidge, AZ
NPI 1487230496 · NPPES record last updated Mar 20, 2021
Key facts
- NPI
- 1487230496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86103706 (AZ)
- Practice address
- 1055 W Lincoln Ave
Coolidge, AZ 85128-3878 - Phone
- (520) 560-5080
- NPI assigned
- Mar 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86103706 | AZ | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86103706 | AZ | Yes |
Addresses
Primary practice location
1055 W Lincoln Ave
Coolidge, AZ 85128-3878
Mailing address
1055 W Lincoln Ave
Coolidge, AZ 85128-3878
Phone (520) 560-5080
Other providers in Coolidge, AZ
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- Momentum Health PLC
- Anthony Moya
- Thomas Roy Muthart
- My Joy Therapy PLLC
- Evaline Ouma
- Oxylife Respiratory Solutions, LLC
- Chetan Shaileshkumar Patel
- Patricia Florence Perez
- Tyler Jay Phelps
All providers in Coolidge, AZ · Registered Dietitian in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.