Provider Demographics
NPI:1306234299
Name:ORTEGA, MARILEIDYS (MSW)
Entity type:Individual
Prefix:
First Name:MARILEIDYS
Middle Name:
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 W 63RD ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6029
Mailing Address - Country:US
Mailing Address - Phone:786-223-2724
Mailing Address - Fax:
Practice Address - Street 1:1200 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2402
Practice Address - Country:US
Practice Address - Phone:305-324-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-31
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker