Organization Active NPI

Mora-Rosa Dental Designs, PA

  • Preferred Provider Organization
  • Orlando, FL
National Provider Identifier
1053077123
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
MORA-ROSA DENTAL DESIGNS, PA
Practice address
12466 Lake Underhill Rd
Orlando, FL 32828-7144
Phone
(407) 207-1800
Fax
(407) 207-1888
NPI assigned
Nov 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Amarilys Cortes-Mora
Title
Business Administrator
Phone
(407) 207-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

12466 Lake Underhill Rd
Orlando, FL 32828-7144

Mailing address

12466 Lake Underhill Rd
Orlando, FL 32828-7144
Phone (407) 207-1800

Other identifiers 1

IdentifierTypeStateIssuer
1750469136MedicaidFL

National Provider Directory

National Provider Directory

Locations

12466 Lake Underhill Rd
Orlando, FL 32828
Phone (407) 207-1800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053077123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12466 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287144",
            "telephone_number": "407-207-1800",
            "fax_number": "407-207-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12466 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287144",
            "telephone_number": "407-207-1800",
            "fax_number": "407-207-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORA-ROSA DENTAL DESIGNS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2025-09-11",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "CORTES-MORA",
        "authorized_official_first_name": "AMARILYS",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "407-207-1800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750469136",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.