Jose Angel Ortiz Maza, BMO

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

BMO 65089 Issued in FL

Practice address

6501 NW 36TH St Ste 390
Virginia Gardens, FL 33166-6963

Phone

(305) 871-0920

NPI assigned

Nov 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1952581837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 SW 138TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756313",
            "telephone_number": "305-485-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 NW 36TH ST STE 390",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666963",
            "telephone_number": "305-871-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ MAZA",
        "first_name": "JOSE",
        "middle_name": "ANGEL",
        "credential": "BMO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "FL",
            "license": "BMO 65089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiography Radiologic Technologist in Virginia Gardens, FL
• Providers in Virginia Gardens, FL by specialty
• Radiography Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.