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DR. ELIANE MARGARITA ORTIZ PUCHE DDS
NPI 1104667575
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 01, 2024PECOS Enrolled
4201 SAINT ANTOINE ST STE 2F, DETROIT, MI 48201(313) 745-7071 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Eliane Margarita Ortiz Puche Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELIANE MARGARITA ORTIZ PUCHE DDS (NPI 1104667575) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (2951000979) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104667575
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ELIANE MARGARITA ORTIZ PUCHECredential: DDS
Location Address4201 SAINT ANTOINE ST STE 2FDetroit, MI 48201-2153
Mailing Address1225 E 4th StRoyal Oak, MI 48067-2975 · (310) 569-7419
Phone(313) 745-7071
Sole ProprietorNo
Enumeration DateJune 1, 2024
Last NPPES UpdateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
✔ NPI 1104667575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 2951000979
Definition
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.
4201 SAINT ANTOINE ST STE 2F, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eliane Margarita Ortiz Puche Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUZANNE PASTERNAK D.D.S.
Dentist (Oral and Maxillofacial Surgery)
4201 SAINT ANTOINE ST STE 2F
DETROIT, MI 48201
Wayne County (313) 745-4622

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eliane Ortiz Puche's NPI number?

The NPI number for Eliane Ortiz Puche is 1104667575. It was assigned to this individual provider in the NPPES registry on June 1, 2024.

Where is Eliane Ortiz Puche located?

Eliane Ortiz Puche practices at 4201 Saint Antoine St Ste 2F, Detroit, MI 48201. The listed phone number is (313) 745-7071.

What is Eliane Ortiz Puche's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Eliane Ortiz Puche enrolled in Medicare?

Yes. Eliane Ortiz Puche is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eliane Ortiz Puche was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.