Marco Ortiz

NPI #1497201859 in Peralta, New Mexico

Provider Information

NPI Number: 1497201859
Entity Type: Individual
Name: Marco Ortiz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Aug 26, 2016
Last Updated: Aug 26, 2016

Practice Location

Address: 46 MONICA RD
City: Peralta
State: New Mexico
ZIP Code: 87042-5171
Phone: (505) 681-1530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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