Individual provider · Type 1 NPI
Eliane Margarita Ortiz Puche, DDS
Student in an Organized Health Care Education/Training Program · Detroit, MI
Practice location
4201 Saint Antoine St Ste 2F
Detroit, MI 48201-2153
Mailing address
1225 E 4th St
Royal Oak, MI 48067-2975
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 2951000979 (MI) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1104667575
Eliane Margarita Ortiz Puche, DDS's National Provider Identifier is 1104667575, issued on Jun 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Aug 13, 2024.