| Ortavera Corporation | |
|
13500 Sw 88th St Ste 211 Miami FL 33186-1528 | |
| (786) 873-7807 | |
| (786) 502-3985 |
| Full Name | Ortavera Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 13500 Sw 88th St Ste 211, Miami, Florida |
| Authorized Official Name and Position | Alberto Orta Iglesias (PRESIDENT) |
| Authorized Official Contact | 7867185454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ortavera Corporation 14996 Sw 108th Ter Miami FL 33196-2507 Ph: (786) 718-5454 | Ortavera Corporation 13500 Sw 88th St Ste 211 Miami FL 33186-1528 Ph: (786) 873-7807 |
| NPI Number | 1720601057 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 12/05/2023 |
| Medicare PECOS PAC ID | 3072936046 |
|---|---|
| Medicare Enrollment ID | O20200709000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720601057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Fermin E Morales |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275706459 PECOS PAC ID: 6103986641 Enrollment ID: I20120717000470 |
| Provider Name | Cristina E Vera Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164877932 PECOS PAC ID: 8325339765 Enrollment ID: I20180505000120 |
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