| Heriberto M. Ortiz, Psy.d., P.a. | |
|
7700 N Kendall Dr Suite 415 Miami FL 33156-7564 | |
| (305) 274-2403 | |
| (305) 274-2433 |
| Full Name | Heriberto M. Ortiz, Psy.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 7700 N Kendall Dr, Miami, Florida |
| Authorized Official Name and Position | Heriberto M Ortiz (PRESIDENT) |
| Authorized Official Contact | 3052742403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heriberto M. Ortiz, Psy.d., P.a. 7700 N Kendall Dr Suite 415 Miami FL 33156-7564 Ph: (305) 274-2403 | Heriberto M. Ortiz, Psy.d., P.a. 7700 N Kendall Dr Suite 415 Miami FL 33156-7564 Ph: (305) 274-2403 |
| NPI Number | 1669810933 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 06/10/2013 |
| Medicare PECOS PAC ID | 8325287444 |
|---|---|
| Medicare Enrollment ID | O20130621000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669810933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY6187 (Florida) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 549 (Florida) | Primary |
| Provider Name | Heriberto M Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760406631 PECOS PAC ID: 2062552532 Enrollment ID: I20091214000340 |
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