Carmen Rosa Fortuno Roman, M.D.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

ME133918 Issued in FL

Practice address

6000 Turkey Lake Rd Ste 205
Orlando, FL 32819-4206

Phone

(407) 649-1848

Fax

(407) 649-1979

NPI assigned

Aug 22, 2007

Last updated

Dec 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Florida Hospital Medical Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234

  Pediatrics

  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  dba Rothman Orthopaedics AdventHealth Medical Group at Minneola

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD
• Child Neurology Center of Orlando, P.a.

  • Specialist
  • Orlando, FL
  • NPI 1255396875
  NPD (past)
• Carolinas Medical Center-Northeast

  dba Carolinas Pediatric Neurology Care-Morrocroft

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1922367077
  NPD (past)

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1184817256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194206",
            "telephone_number": "407-649-1848",
            "fax_number": "407-649-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194206",
            "telephone_number": "407-649-1848",
            "fax_number": "407-649-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNO ROMAN",
        "first_name": "CARMEN",
        "middle_name": "ROSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "18970",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PR",
            "license": "18970",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NC",
            "license": "2016-01382",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME133918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Forte
• Manuel Correa Fortes, M.D.
• Fortis Medical Group, LLC
• Fortis Physical Therapy, LLC
• Allyson L Fortis, APRN
• Foscolo Enterprises Inc (Home Instead Senior Care)
• Foscolo Homecare Inc (Home Instead Senior Care)
• Joseph N Foss, MD
• Donald Fosson, CRNA
• Amber Foster, CRNA

• Neurology with Special Qualifications in Child Neurology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.