Search › Indiana › 364SC1501X
Mario Ortiz, PHD; PHCNS-BC, FNP-C
NPI 1265826226 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1700 Mishawaka Ave # Sac-130
Health & Wellness Center, Iu South Bend
South Bend, IN 46615 - Phone
- (574) 520-5557
- Fax
- (574) 520-5042
Registry record
- Primary taxonomy
- 364SC1501X
364SC1501X
- Also registered as
- 363LF0000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana