Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivette M Ortiz Soto

Individual provider Physician Assistant · NPI 1053033506

Ivette M Ortiz Soto is a Physician Assistant in North las Vegas, Nevada. Licensed in Arizona and Puerto Rico. Registered with an NPI since 2022.

Licensed in
AZ, PR
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1409 E Lake Mead Blvd
North las Vegas, NV 89030-7120
Phone: (702) 649-7711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10191 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 1476 (PR)

Record details

NPI number1053033506
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

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