Basic Information
| Provider Information | |||||||||
| NPI: | 1700194511 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AURELIO A. ORTIZ, MD, LLC | ||||||||
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| OtherOrganizationName: | CARDIOLOGY OF MIAMI | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2150 CORAL WAY | ||||||||
| Address2: | FL 2 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331452629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055871752 | ||||||||
| FaxNumber: | 3054022702 | ||||||||
| Practice Location | |||||||||
| Address1: | 2150 CORAL WAY | ||||||||
| Address2: | FL 2 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331452629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055871752 | ||||||||
| FaxNumber: | 3054022702 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2010 | ||||||||
| LastUpdateDate: | 08/24/2022 | ||||||||
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| AuthorizedOfficialLastName: | ORTIZ | ||||||||
| AuthorizedOfficialFirstName: | AURELIO | ||||||||
| AuthorizedOfficialMiddleName: | ANTONIO | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3055871752 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 08/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | ME89665 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.