Gustavo Andres Ortiz
Psychiatry & Neurology (Neurology)

Address: 1611 Nw 12th Ave, Miami, FL 33136-1005
Phone: 3055851864

Gustavo Andres Ortiz (NPI# 1740491158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1740491158
Entity Type Individual
Full Name Gustavo Andres Ortiz
Credential MD
Gender Male
Practice Address 1611 Nw 12th Ave
Miami
FL 33136-1005
Practice Telephone 3055851864
Practice Fax Number 3055851899
Mailing Address 251 Galen Dr
Apt 311e
Key Biscayne
FL 33149-2182
Mailing Telephone 3058733632
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-05-25
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2084N0400X Psychiatry & Neurology · Neurology Allopathic & Osteopathic Physicians TRN5459 FL

Other Providers GUSTAVO ORTIZ

NPI Name Taxonomy Address Enumeration
1326403270 Gustavo Ortiz Physical Therapy Assistant 7922 Greenfield Ct, Midland, GA 31820-3699 2015-12-18
1346785995 Gustavo A Ortiz Social Worker 511 E Columbus Ave, Springfield, MA 01105-2506 2017-01-05

Physician Overview

NPI 1740491158
PAC ID by PECOS 7113016437
Professional Enrollment ID I20071210000026
Full Name Gustavo A Ortiz
Organization Legal Name UNIVERSITY OF MIAMI NEUROLOGY
Gender M
Graduation Year 1996
Primary Specialty NEUROLOGY
Group Practice PAC ID 9335131325
Number of Group Practice Members 64
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100022 JACKSON HEALTH SYSTEM
100079 UNIVERSITY OF MIAMI HOSPITAL & CLINICS-SYLVESTER COMPREHENSIVE C

Office Location

Street Address 1611 NW 12TH AVE
City MIAMI
State FL
Zip Code 33136-1005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740286251 Karen Chitty Emergency Medicine 1611 Nw 12th Ave, Miami, FL 33136-1005 2005-06-21
1851854939 Cameron Shoraka Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2019-04-07
1356804447 Carlos Luis Rincon Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2019-04-07
1114480266 Justin Orton Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2019-04-06
1538621974 Tamrah Yousef Alrommah Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2019-04-04
1770045288 Alejandro Eric Macias Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2019-04-03
1770045205 Kamal Wahab Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2019-04-03
1821550377 Michael Bennett Tradewell Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2019-04-03
1093277642 Roselyn Suarez Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2019-04-03
1992267553 Daniel Dimitriu Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2019-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972064103 Luis Rafael Rivera Aguasvivas Student in an Organized Health Care Education/Training Program 1611-nw 12 Avenue, Holtz Building, East Tower 2169, Miami, FL 33136 2019-03-29
1285194514 Joseph Francis Geiger IIi Student in an Organized Health Care Education/Training Program 611 Nw 12 Avenue, Miami, FL 33136 2019-03-22
1124583802 Diane Garzon Social Worker 1120 Nw 14th St., University of Miami/early Steps Program, Miami, FL 33136 2019-02-06
1013402775 Erini Nessim Kostandy Student in an Organized Health Care Education/Training Program 1611 North West 12th Avenue, Miami, FL 33136 2018-06-26
1851886691 David Mauricio Martinez Garza Student in an Organized Health Care Education/Training Program Jackson Memorial Hospital 1611 Nw 12 Avenue, Miami, FL 33136 2018-06-25
1619468154 Anna Maria Mlynarczyk Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Jackson Memorial Hospital, Critical C, Miami, FL 33136 2018-05-21
1376034819 Isabel Castano Social Worker 1120 Nw 14th St # 1209, Miami, FL 33136 2018-05-21
1851889935 Vivian Joan Ortiz Baez Student in an Organized Health Care Education/Training Program East Tower Room 1004, 1611 Nw 12th Avenue, Miami, FL 33136 2018-04-25
1942723739 Rahul Shabadi Student in an Organized Health Care Education/Training Program Jackson Memorial Hospital, 1611 N.w 12th Avenue, Miami, FL 33136 2017-07-24
1669995015 Jessica Aoun Pathology 1611 Nw 12 Avenue Miami, Fl 33136, Holtz Center, Room 2044, Miami, FL 33136 2017-07-18
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194293324 Novel Clinical Research Center, LLC Psychiatry & Neurology 9000 Sw 137th Ave Ste 211, Miami, FL 33186-1436 2018-11-06
1245722974 Alex Sabo Do Pa Psychiatry & Neurology 1900 N Bayshore Dr Apt 4508, Miami, FL 33132-3025 2018-05-30
1407392194 Sarah Hughes Psychiatry & Neurology 1421 Sw 82nd Ct, Miami, FL 33144-5245 2017-01-18
1801147574 Neurology and Wellness Center, Inc Psychiatry & Neurology 2433 Sw 147th Ave, Miami, FL 33185-4082 2012-09-21
1881950905 Jose Luis Gonzalez Psychiatry & Neurology 3661 S Miami Ave Ste 208, Miami, FL 33133-4233 2012-04-03
1275847808 Gelasio Alberto Baras Pier Psychiatry & Neurology 11760 Sw 40th St Ste 502, Miami, FL 33175 2010-08-06
1407173974 Andrew Michael Lerman Psychiatry & Neurology 2601 Sw 37th Ave Ste 600, Miami, FL 33133-2750 2010-04-23
1477795813 Joaquin Salustino Maury Ochoa Psychiatry & Neurology 8200 Sw 117th Ave Ste 416, Miami, FL 33183-4828 2009-03-31
1124260773 Mohan Kottapally Psychiatry & Neurology 1120 Nw 14th St Fl 13, Ste. 1358, Miami, FL 33136-2107 2009-03-28
1982878815 Naymee J Velez-ruiz Psychiatry & Neurology 1150 Nw 14th Street, Miami, FL 33136-3612 2008-04-22
Find all providers in MIAMI

Competitor

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City MIAMI
Zip Code 33136

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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