Provider Demographics
NPI:1194886101
Name:ORTEGA, LAYLA MAY (DC)
Entity type:Individual
Prefix:DR
First Name:LAYLA
Middle Name:MAY
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 NE 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-1211
Mailing Address - Country:US
Mailing Address - Phone:954-767-4927
Mailing Address - Fax:954-450-2565
Practice Address - Street 1:18501 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-1414
Practice Address - Country:US
Practice Address - Phone:954-432-3343
Practice Address - Fax:954-450-2565
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8586111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor