Ortega, Ismael

Ortega, Ismael is an individual health care provider with primary practice located at 1223 Gateway Dr Ste 2G , Melbourne FL 32901-2607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ortega, Ismael can be contacted via phone (321) 312-3499.

Contact Information

Primary practice address
1223 Gateway Dr Ste 2G Melbourne FL 32901-2607
Phone: (321) 312-3499
Fax: (321) 768-5082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME101029 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME101029 Florida

Profile Details

NPI number 1518131333
LBN Legal business name Ortega, Ismael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2008
Last updated Feb 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518131333 NPPES
Florida Other P01164163 RR MEDICARE
Florida MEDICAID 281088301 RR MEDICARE

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