Active NPI
Ortho Visits LLC
- Family Medicine Physician
- St Augustine, FL
National Provider Identifier
1184531352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ORTHO VISITS LLC
- Practice address
- 1750 Tree Blvd Ste 5
St Augustine, FL 32084-5719 - Phone
- (904) 342-0672
- Fax
- (833) 438-1287
- NPI assigned
- Aug 25, 2026
- 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
- Jorge Enrique De la Rotta, LICENSED APRN
- Title
- Owner/Provider
- Phone
- (904) 377-2675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1750 Tree Blvd Ste 5
St Augustine, FL 32084-5719
Mailing address
57 Willow Island PT
Saint Augustine, FL 32092-1982
Phone (904) 392-0842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1184531352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 WILLOW ISLAND PT",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320921982",
"telephone_number": "904-392-0842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 TREE BLVD STE 5",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320845719",
"telephone_number": "904-342-0672",
"fax_number": "833-438-1287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHO VISITS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "DE LA ROTTA",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "ENRIQUE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "904-377-2675",
"authorized_official_credential": "LICENSED APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.