Provider Demographics
NPI:1174982771
Name:MIRTA ORTIZ ORTEGA CPA D/B/A ELECTRONIC BILLING AND CONSULTING SERVICE
Entity type:Organization
Organization Name:MIRTA ORTIZ ORTEGA CPA D/B/A ELECTRONIC BILLING AND CONSULTING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MIRTA
Authorized Official - Middle Name:ORTIZ
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:787-764-6952
Mailing Address - Street 1:PO BOX 361788
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-1788
Mailing Address - Country:US
Mailing Address - Phone:787-764-6952
Mailing Address - Fax:787-751-7858
Practice Address - Street 1:304 CALLE COLL Y TOSTE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4074
Practice Address - Country:US
Practice Address - Phone:787-764-6952
Practice Address - Fax:787-751-7858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management