Nubia Fonseca Ortiz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME111318 Issued in FL

Practice address

301 Memorial Medical Parkway
Daytona Beach, FL 32117-5167

Phone

(386) 231-6000

NPI assigned

Dec 9, 2009

Last updated

Dec 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

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.

• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Fonort.LLC

  • Internal Medicine Physician
  • Weston, FL
  • NPI 1205398575
  Authorized official Same address or phone
• Comprehensive Hospitalist Services of Naples LLC

  • Hospitalist Physician
  • Daytona Beach, FL
  • NPI 1851693568
  NPD (past)

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1245569938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 S ATLANTIC AVE",
            "address_2": "AP 1804",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321185546",
            "telephone_number": "347-571-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL MEDICAL PARKWAY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175167",
            "telephone_number": "386-231-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA ORTIZ",
        "first_name": "NUBIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME111318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Treant Floyd Jr.
• Alexis Flynn-Hanlon, MD
• Cynthia K Flynn, M.D.
• Kimberly Patricia Foley, PSYD
• Maya Follings
• For Eyes Optical Co. of Coconut Grove
• For You I Will LLC
• Ashli N. Ford
• Forest Lane Healthcare LLC
• Zahra Foroughi, APRN

• Internal Medicine Physician in Daytona Beach, FL
• Providers in Daytona Beach, 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 Dec 13, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.