ABRAHAM ORTIZ (NPI# 1366949422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366949422 |
| Entity Type | Individual |
| Full Name | ABRAHAM ORTIZ |
| Practice Address |
2003 E 4th St Pueblo CO 81001-4150 |
| Mailing Address |
41 Montebello Rd Ste 202 Pueblo CO 81001-1366 |
| Practice Telephone | 7195446373 |
| Practice Fax Number | 7195455405 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195454100 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1304 Chinook Ln, Pueblo, CO 810011851 | 7195452746 | 7195840110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093181034 | Abraham Ortiz | Social Worker | 4804 Overland St Ne, Albuquerque, NM 87109-2667 | 2015-08-13 |
| 1659519395 | Abraham Ortiz | Physical Therapist | 42080 State St, Palm Desert, CA 92211-5173 | 2009-02-03 |
| 1700998382 | Abraham Ortiz | General Practice | 2 Ave Ponce De Leon, Suit 709, San Juan, PR 00918-1621 | 2006-08-31 |
| Street Address |
2003 E 4TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457419830 | Health Solutions | Clinic/Center | 2003 E 4th St, Pueblo, CO 81001-4150 | 2006-12-05 |
| 1679196844 | Ashley Warner | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2020-05-22 |
| 1194350322 | Shannon Brooks | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2020-03-09 |
| 1346802709 | Zinnia Martinez | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2019-07-05 |
| 1083110183 | Lawrence Chavez Jr. | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1811493919 | Robert Trujillo | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1659877751 | Tiffany Post | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1659875102 | Darnell Ray Brown | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-03-20 |
| 1992212351 | Alexis Marie Rael | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-01-08 |
| 1760937742 | Joshua Helton | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2016-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299725 | Mi Casa Transitional Services Inc | Peer Specialist | 1611 Crestmoor Dr, Pueblo, CO 81001-2727 | 2017-11-29 |
| 1679196844 | Ashley Warner | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2020-05-22 |
| 1194350322 | Shannon Brooks | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2020-03-09 |
| 1790334324 | Chelsea Bruntmyer | Peer Specialist | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-09-06 |
| 1346802709 | Zinnia Martinez | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2019-07-05 |
| 1639637127 | Lisa Ochoa-lloyd | Peer Specialist | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-03-04 |
| 1083110183 | Lawrence Chavez Jr. | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1811493919 | Robert Trujillo | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1659877751 | Tiffany Post | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1659875102 | Darnell Ray Brown | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-03-20 |
| Find all providers in PUEBLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.