IndividualActive
Juan Ortiz, MD
NPI 1225100308 · Plastic and Reconstructive Surgery Physician · Wake Forest, NC
Provider details
- NPI number
- 1225100308
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2011-00555 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3319 Heritage Trade Dr Ste 201
Wake Forest, NC 27587-1002
Phone: (919) 532-2270
Fax: (919) 230-9140
Approximate (ZIP-level) locationGet directions
Mailing address
3319 Heritage Trade Dr Ste 201
Wake Forest, NC 27587-1002
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.