Individual ProviderDavid Dionisio OrtizFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address333 N Santa Rosa Ave, 4th Floor, Clinic C, San Antonio, TX 78207-3108(210) 704-4140PECOS EnrollmentBased on the most recent information from CMS, provider David Dionisio Ortiz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1922008473Provider TypeIndividualFull NameOrtiz, David DionisioTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/27/2005Last Updated2/5/2010Contact InformationPractice LocationPractice Address333 N Santa Rosa Ave, 4th Floor, Clinic C, San Antonio, TX 78207-3108Phone(210) 704-4140Fax(210) 704-4136Mailing LocationMailing Address333 N Santa Rosa Ave, 4th Floor, Clinic C, San Antonio, TX 78207-3108Phone(210) 704-4140Fax(210) 704-4136Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseL7509Texas