MARIO REMEDIOS ORTIZ PHD; PHCNS-BC FNP-C NPI 1265826226

NPI Information

Mario Remedios Ortiz, PHD; PHCNS-BC, FNP-C is a community health/public health clinical nurse specialist in South Bend, IN with 27 years of experience. Mario Remedios Ortiz, PHD; PHCNS-BC, FNP-C NPI is 1265826226. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1700 MISHAWAKA AVE # SAC-130
HEALTH & WELLNESS CENTER, IU SOUTH BEND
SOUTH BEND, IN
ZIP 46615-408
Phone: (574) 520-5557
Fax: (574) 520-5042

The NPI 1265826226 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/26/2015 and was last updated on 7/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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