Maria Michelle Rivera Ortiz in Wagner - General Practice

Maria Michelle Rivera Ortiz - NPI 1538266655

Maria Michelle Rivera Ortiz is a General Practice in Wagner, South Dakota. Maria Michelle Rivera Ortiz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Maria Michelle Rivera Ortiz is 1538266655. The last update date is 2011-10-24.

Maria Michelle Rivera Ortiz's current location address is 111 Washington Ave Nw, Wagner, South Dakota. You can contact this provider via phone number 6053843621 and fax number 6053845229. The mailing address for Maria Michelle Rivera Ortiz is 111 Washington Ave Nw, Wagner, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Maria Michelle Rivera Ortiz
Address 111 Washington Ave Nw, Wagner, South Dakota
Phone Number 6053843621
Fax Number 6053845229
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1538266655
Provider Enumeration Date 2006-09-20
Last Updated Date 2011-10-24

Provider Mailing Address Detail

Address 111 Washington Ave Nw
City Wagner
State South Dakota (SD)
Post Code 573804300
Phone Number 6053843621
Fax Number 6053845229

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 15680
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15680 PR MEDICAL LICENSE NUMBER

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FAQs about Maria Michelle Rivera Ortiz

What is the Maria Michelle Rivera Ortiz's unique identification number?

The Maria Michelle Rivera Ortiz has been assigned the NPI (National Provider Identifier) Number 1538266655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Maria Michelle Rivera Ortiz's facilities are geographically located?

The facilities of Maria Michelle Rivera Ortiz are physically situated at the following location: 111 Washington Ave Nw, Wagner, SD, 573804300.

What is Maria Michelle Rivera Ortiz's specialized field of practice, and what is the corresponding taxonomy classification code?

The Maria Michelle Rivera Ortiz's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1538266655 to Maria Michelle Rivera Ortiz?

The Centers for Medicare & Medicaid Services assigned the 1538266655 to Maria Michelle Rivera Ortiz on 2006-09-20.

As of what date was the information regarding Maria Michelle Rivera Ortiz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Maria Michelle Rivera Ortiz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-10-24.

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