Provider Demographics
NPI:1588870265
Name:ORTIZ RIOS, ELIZABETH (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:ORTIZ RIOS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9782 ATHLETIC WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-5376
Mailing Address - Country:US
Mailing Address - Phone:301-443-4423
Mailing Address - Fax:
Practice Address - Street 1:9782 ATHLETIC WAY
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-5376
Practice Address - Country:US
Practice Address - Phone:301-443-4423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR005806208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics