Individual provider Active NPI

Elizabeth Lourdes Ortea, APRN

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1093474470
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010098 Issued in FL
Practice address
806 S Douglas Rd Ste 625
Coral Gables, FL 33134-3157
Phone
(786) 743-4357
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11010098 FL Primary

Addresses

Primary practice location

806 S Douglas Rd Ste 625
Coral Gables, FL 33134-3157

Mailing address

3025 W Signature Dr Apt 507
Davie, FL 33314-6464
Phone (954) 401-1152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11010098FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Qualified Professional Home Health Services, Inc. Current Accepting new patients
Galen Hope Holdings, LLC CurrentSince Dec 21, 2021 Accepting new patients

Locations

806 S Douglas Rd
Ste 625
Coral Gables, FL 33134
Phone (786) 743-4357

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1093474470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 W SIGNATURE DR APT 507",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333146464",
            "telephone_number": "954-401-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S DOUGLAS RD STE 625",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343157",
            "telephone_number": "786-743-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEA",
        "first_name": "ELIZABETH",
        "middle_name": "LOURDES",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.