Individual provider · Type 1 NPI
Juan Antonio Ortiz, MD
Plastic and Reconstructive Surgery Physician · Wake Forest, NC
NPI number
1225100308
Active
Practice location
3319 Heritage Trade Dr Ste 201
Wake Forest, NC 27587-1002
Fax (919) 230-9140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 2011-00555 (NC) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1225100308
Juan Antonio Ortiz, MD's National Provider Identifier is 1225100308, issued on Nov 14, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Wake Forest, NC. The record was last updated on May 28, 2026.