| Dr Luis Ariel Ortiz, MD | |
|
3941 Tamiami Trl Unit 3175, Punta Gorda, FL 33950-7925 | |
| (941) 564-7160 | |
| (844) 388-6186 |
| Full Name | Dr Luis Ariel Ortiz |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 31 Years |
| Location | 3941 Tamiami Trl Unit 3175, Punta Gorda, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710911243 | NPI | - | NPPES |
| ACN 563 | Other | FL | FLORIDA TEMPORARY ACN LICENSE |
| 13942 | Other | PR | STATE MEDICAL LICENSE |
| 14108-5 | Other | PR | ASSMCA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 13942 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN563 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Medical Associates Llc | 0648271155 | 150 |
| Entity Name | Lowell F. Clark Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629278882 PECOS PAC ID: 7416918370 Enrollment ID: O20041023000143 |
| Entity Name | Florida Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336153709 PECOS PAC ID: 0648271155 Enrollment ID: O20070126000169 |
| Entity Name | Columbia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477805489 PECOS PAC ID: 8729231501 Enrollment ID: O20130102000375 |
| Entity Name | Health Holdings Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336583707 PECOS PAC ID: 8224323050 Enrollment ID: O20160818001144 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luis Ariel Ortiz, MD 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (800) 480-5243 | Dr Luis Ariel Ortiz, MD 3941 Tamiami Trl Unit 3175, Punta Gorda, FL 33950-7925 Ph: (941) 564-7160 |
Kiersta Borrego, DO General Practice Medicare: May Accept Medicare Assignments Practice Location: 315 E Olympia Ave Unit 111, Punta Gorda, FL 33950 Phone: 941-639-1640 Fax: 941-637-9808 | |
Alexis Roman Fleites Dominguez, MD General Practice Medicare: Medicare Enrolled Practice Location: 3941 Tamiami Trl Unit 3175, Punta Gorda, FL 33950 Phone: 941-564-7160 |