Individual provider Active NPI

Magaly Villafradez-Diaz, M.D.

  • Rheumatology Physician
  • Sanford, FL
National Provider Identifier
1053575050
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME125151 Issued in FL
Practice address
1403 Medical Plaza Dr Ste 207
Sanford, FL 32771-1047
Phone
(321) 364-0728
Fax
(321) 364-0729
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME125151 FL Primary

Addresses

Primary practice location

1403 Medical Plaza Dr Ste 207
Sanford, FL 32771-1047

Mailing address

1403 Medical Plaza Dr Ste 207
Sanford, FL 32771-1047
Phone (321) 364-0728

Other practice location 1

1020 W Oak St
Kissimmee, FL 34741-4113
Phone (407) 870-1579

Other practice location 2

1344 S Apollo Blvd
#300
Melbourne, FL 32901-3183
Phone (321) 802-5059

Other names 1

  • Liliam Magaly Ortiz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address magaly75@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160927000138 FL Practitioner - Rheumatology 2466605142 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1403 Medical Plaza Dr
Suite 207
Sanford, FL 32771-1047
Phone (321) 364-0728

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Group of Specialists LLC Rheumatology CurrentSince Aug 1, 2022 Accepting new patients
Mid Florida Rheumatology and Arthritis Center LLC Rheumatology CurrentSince Nov 22, 2022 Accepting new patients
Vitality Integrated Medical Network LLC Rheumatology PastSince Dec 24, 2023 Accepting new patients

Locations

1403 Medical Plaza Dr
Ste 208
Sanford, FL 32771
Phone (321) 364-0728

1403 Medical Plaza Dr
Ste 207
Sanford, FL 32771
Phone (321) 364-0728

Interoperability endpoints

  • Direct secure messaging: magaly75@direct.practicefusion.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1053575050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MEDICAL PLAZA DR STE 207",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711047",
            "telephone_number": "321-364-0728",
            "fax_number": "321-364-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MEDICAL PLAZA DR STE 207",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711047",
            "telephone_number": "321-364-0728",
            "fax_number": "321-364-0729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414113",
            "country_code": "US",
            "telephone_number": "407-870-1579",
            "fax_number": "407-870-2353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1344 S Apollo Blvd",
            "address_2": "#300",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013183",
            "country_code": "US",
            "telephone_number": "321-802-5059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAFRADEZ-DIAZ",
        "first_name": "MAGALY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME125151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "magaly75@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1403 Medical Plaza Dr Ste 207",
            "city": "Sanford",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327711047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LILIAM",
            "last_name": "ORTIZ",
            "middle_name": "MAGALY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.