NPI 1083505648

Yaneishka Odracir Ortiz

Practitioner Community Health Worker Providence, RI

Practice location

Address: 640 Broad St, Providence, RI 02907-1463
Phone: (401) 390-6816
Mailing address: 2597 Hartford Ave, Johnston, RI 02919-1620

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 202018 (RI)

Other Community Health Worker providers in Rhode Island →

Registry record

NPI: 1083505648
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2025
Record last updated: 11 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.