Individual provider Active NPI

Rosalyn Ortiz-Manso, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1285121996
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME149576 Issued in FL
Practice address
1441 N Beckley Ave Ofc 5TH
Dallas, TX 75203-1201
Phone
(214) 947-2306
NPI assigned
Apr 18, 2018
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME149576 FL Primary

Addresses

Primary practice location

1441 N Beckley Ave Ofc 5TH
Dallas, TX 75203-1201

Mailing address

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-2306

Other practice location 1

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 344-3000

Other practice location 2

6401 N Federal Hwy
Fort Lauderdale, FL 33308-1427
Phone (954) 776-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211008000958 FL Practitioner - Internal Medicine 5698023174 Reassigns benefits to 3 organizations
I20220107000969 TX Practitioner - Internal Medicine 5698023174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
San Juan Bautista School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Lauderdale Physician Services, LLCGroup PAC ID 0446535280, 18 clinicians

Practice addresses (Care Compare)

6401 N Federal Hwy
Fort Lauderdale, FL 33308-1427
Phone (954) 776-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149576FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coral Springs Physician Services, LLC CurrentSince Nov 14, 2021 Accepting new patients
Eastside Hospitalists Inc CurrentSince Mar 1, 2025 Accepting new patients
Fort Lauderdale Physician Services, LLC CurrentSince Sep 5, 2021 Accepting new patients
Medhealth CurrentSince Jan 10, 2022 Accepting new patients
Medhealth Internal Medicine CurrentSince Jan 10, 2022 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

1441 N Beckley Ave
Ofc 5TH
Dallas, TX 75203
Phone (214) 947-2306

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1285121996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-947-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE OFC 5TH",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-947-2306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Coral Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330654108",
            "country_code": "US",
            "telephone_number": "954-344-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333081427",
            "country_code": "US",
            "telephone_number": "954-776-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ-MANSO",
        "first_name": "ROSALYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME149576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.