Pedro L. Ortega MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0075974 Issued in FL

Legal business name

PEDRO L. ORTEGA MD PA

Practice address

3727 N Goldenrod Rd
Suite 106
Winter Park, FL 32792-8611

Phone

(407) 478-0028

Fax

(407) 476-0297

NPI assigned

Jan 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Pedro L Ortega, MDNPI 1740251891

Title

Physician/Owner

Phone

(407) 478-0028

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Florida Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedro Luis Ortega, MD

  • Internal Medicine Physician
  • Winter Park, FL
  • NPI 1740251891
  Medicare reassignment NPD Authorized official
• Diana Victoria Huaman, ARNP

  • Gerontology Nurse Practitioner
  • Orlando, FL
  • NPI 1417728262
  Medicare reassignment NPD
• Iveth Mastrapa

  • Nurse Practitioner
  • Winter Park, FL
  • NPI 1891343661
  Medicare reassignment NPD
• Dagnex Jimenez Najarro, APRN

  • Family Nurse Practitioner
  • Kissimmee, FL
  • NPI 1578344008
  NPD (past)

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1326438771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 N GOLDENROD RD",
            "address_2": "SUITE 106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928611",
            "telephone_number": "407-478-0028",
            "fax_number": "407-476-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 N GOLDENROD RD",
            "address_2": "SUITE 106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928611",
            "telephone_number": "407-478-0028",
            "fax_number": "407-476-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO L. ORTEGA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "407-478-0028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0075974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009320800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• David R Peiper, MA
• Alejandro Pelaez, MD
• Laura S Pelham, OTR/L
• Robert D. Pellarin, D.D.S.
• Elaine Marie Pelletier, BA

• Internal Medicine Physician in Winter Park, FL
• Providers in Winter Park, 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 Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.