Individual provider Active NPI

Jorge Enrique Monroy Avella, M.D.

  • General Practice Physician
  • Ocoee, FL
National Provider Identifier
1265860225
Registry record updated Sep 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME138661 Issued in FL
Practice address
2714 Rew Cir
Ocoee, FL 34761-2990
Phone
(689) 234-9361
Fax
(866) 407-2128
NPI assigned
Oct 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME138661 FL Primary

Addresses

Primary practice location

2714 Rew Cir
Ocoee, FL 34761-2990

Mailing address

2714 Rew Cir
Ocoee, FL 34761-2990
Phone (689) 223-9756

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150209000006 FL Practitioner - General Practice 2163747445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2714 Rew Cir
Ocoee, FL 34761-2990
Phone (407) 388-5982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Amg Medical Group, LLC General Practice CurrentSince Mar 21, 2021 Accepting new patients
Orlando Family Physicians, LLC General Practice PastSince Jan 5, 2025 Accepting new patients

Locations

2714 Rew Cir
Ocoee, FL 34761
Phone (407) 388-5982

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJACDD/Endpoint/FJACDD

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": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695513600000",
    "number": "1265860225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 REW CIR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612990",
            "telephone_number": "689-223-9756",
            "fax_number": "866-407-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 REW CIR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612990",
            "telephone_number": "689-234-9361",
            "fax_number": "866-407-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROY AVELLA",
        "first_name": "JORGE",
        "middle_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2023-09-24",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME138661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.