| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LUIS ARIEL ORTIZ | 1710911243 | 2024-11-08 |
Luis A Ortiz-torres MD [M] graduated in 1995 and primarily specializes in General Practice.
Luis Ariel Ortiz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710911243. Registration indicates Luis Ariel Ortiz is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, General Practice Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)
| PECOS ID | 1951386747 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Luis Ariel Ortiz M.D. |
| Other Provider Name | Luis Ariel Ortiz Torres |
| Practice Office Address | 3941 TAMIAMI TRL UNIT 3175 PUNTA GORDA, FL US |
| Practice Office Telephone | 9415647160 |
| Practice Office Fax | 8443886186 |
| Mailing Address | 601 S HARBOUR ISLAND BLVD STE 200 TAMPA, FL 336025925 US |
| Business Telephone | 8004805243 |
| Business Fax | 8009287449 |
| Code | Practice | License No State |
|---|---|---|
| 208D00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | 13942
PR |
| 208D00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | ACN563
FL |
| ACN 563 | OTHER | FL | FLORIDA TEMPORA |
| 13942 | OTHER | PR | STATE MEDICAL L |
| 14108-5 | OTHER | PR | ASSMCA LICENSE |