Organization Active NPI

Ortho Visits LLC

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1184531352
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Aug 25, 2026

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.