IndividualActive
Alexander Ortiz, DO
NPI 1356928014 · Military Health Care Provider · Shaw Afb, SC
Provider details
- NPI number
- 1356928014
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Student, Health Care
Practice location
431 Meadowlark St
Shaw Afb, SC 29152-5019
Phone: (803) 895-2273
Fax: (803) 895-6063
Approximate (ZIP-level) locationGet directions
Mailing address
332 Tomentosa Dr
Columbia, SC 29209-4456
Registry dates
- Enumerated
- 2021-03-26
- Last updated
- 2022-12-06
- Certified
- 2022-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.