Individual provider Active NPI

Cristina R Ramos Vidal, TPPA105

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1316536329
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TPPA105 Issued in FL
Practice address
1317 Edgewater Dr # 2822
Orlando, FL 32804-6350
Phone
(407) 494-5552
Fax
(888) 885-3664
NPI assigned
Jan 13, 2021
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TPPA105 FL Primary

Addresses

Primary practice location

1317 Edgewater Dr # 2822
Orlando, FL 32804-6350

Mailing address

1317 Edgewater Dr # 2822
Orlando, FL 32804-6350
Phone (407) 494-5552

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cvidal@orlandofamilyphysicians.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TPPA105FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Physicians, LLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Orlando Family Physicians, LLC Family Medicine PastSince Jun 1, 2021 Accepting new patients

Locations

1834 N Alafaya Trl
Orlando, FL 32826
Phone (407) 627-0062

Interoperability endpoints

  • Direct secure messaging: cvidal@orlandofamilyphysicians.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1316536329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 2822",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "407-494-5552",
            "fax_number": "888-885-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 2822",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "407-494-5552",
            "fax_number": "888-885-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS VIDAL",
        "first_name": "CRISTINA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "TPPA105",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "TPPA105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cvidal@orlandofamilyphysicians.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "1834 N Alafaya Trl",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328264716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.