Omt Healthcare Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OMT HEALTHCARE SERVICES LLC

Practice address

777 N Orange Ave Apt 515
Orlando, FL 32801-1184

Phone

(786) 553-0177

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Orestes Mederos Trujillo, MDNPI 1316456528

Title

Owner

Phone

(786) 553-0177

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 7

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

• Orestes Mederos Trujillo, MD

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1316456528
  Medicare reassignment NPD Authorized official
• Damny Del Rio Rodriguez

  • Family Nurse Practitioner
  • North Miami, FL
  • NPI 1477122083
  Medicare reassignment NPD
• Gabriel Jose Barciela, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1407558299
  NPD (past)
• Eugenia Padilla, APRN

  • Nurse Practitioner
  • Pompano Beach, FL
  • NPI 1518569912
  NPD (past)
• Henly Rojas, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1962286369
  NPD (past)
• Alejandro Suanes, ARNP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1740734839
  NPD (past)
• Jorge Imae Tirado Bientz, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1689212516
  NPD (past)

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1083300289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N ORANGE AVE APT 515",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011184",
            "telephone_number": "786-553-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N ORANGE AVE APT 515",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011184",
            "telephone_number": "786-553-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMT HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MEDEROS TRUJILLO",
        "authorized_official_first_name": "ORESTES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-553-0177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.