Marco Ortiz
Individual provider Active NPI Other Technician · Peralta, NM
NPI 1497201859 · NPPES record last updated Aug 26, 2016
Key facts
- NPI
- 1497201859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 46 Monica Rd
Peralta, NM 87042-5171 - Phone
- (505) 681-1530
- NPI assigned
- Aug 26, 2016
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
46 Monica Rd
Peralta, NM 87042-5171
Mailing address
46 Monica Rd
Peralta, NM 87042-5171
Phone (505) 681-1530
Other providers in Peralta, NM
- Regina Gantt
- Joe'S Pharmacy L.L.C.
- Diana Kristine Keith
- Amy Lakey
- Angela Martinez
- Devyn Rae Pohl
- Lindsey Porter
- Starbright Pediatric Home Health
- James D Stewart
- W & H Enterprises
All providers in Peralta, NM · Other Technician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2016. 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.