Active NPI
Mora-Rosa Dental Designs, PA
- Preferred Provider Organization
- Orlando, FL
National Provider Identifier
1053077123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750469136 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Orlando, FL
- NPI 1750469136
-
- Dentist
- Orlando, FL
- NPI 1538220975
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.