1497722078 NPI number — YVETTE ORTIZ M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497722078 NPI number — YVETTE ORTIZ M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

ORTIZ

Provider First Name:

YVETTE

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1497722078

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

03/17/2025

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

7593 W BOYNTON BEACH BLVD STE 220

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

BOYNTON BEACH

Provider Business Mailing Address State Name:

FL

Provider Business Mailing Address Postal Code:

33437-6162

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

561-678-2652

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

8100 ROYAL PALM BLVD STE 105

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

CORAL SPRINGS

Provider Business Practice Location Address State Name:

FL

Provider Business Practice Location Address Postal Code:

33065-5733

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

954-344-2288

Provider Business Practice Location Address Fax Number:

954-546-2633

Provider Enumeration Date:

03/02/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207R00000X , with the licence number:  186421 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208M00000X , with the licence number: 186421 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207R00000X , with the licence number: ME165982 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 1913815 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 2152607 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 31/01400 . This is a "BX HEALTH CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 11P7371 . This is a "NYPCHP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: GP326 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 2C1004 . This is a "HEALTH NET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 134031158 . This is a "1199" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 48J181 . This is a "BC/BS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 134031158 . This is a "32BJ" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 134031158 . This is a "MULTIPLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 01569575 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
• Identifier: 2C1004 . This is a "AFFINTY/PHS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 11C022 . This is a "CPP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 8102794002 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".