Individual provider Active NPI

Yamillie S Ortiz Lopez, M. D.

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1346274982
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN698 Issued in FL
Practice address
6150 Metrowest Blvd Ste 103
Orlando, FL 32835-3290
Phone
(407) 395-2348
Fax
(407) 395-2349
NPI assigned
Jul 10, 2006
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 15274 PR
General Practice Physician 208D00000X 15274 PR
General Practice Physician 208D00000X ACN698 FL Primary

Addresses

Primary practice location

6150 Metrowest Blvd Ste 103
Orlando, FL 32835-3290

Mailing address

6150 Metrowest Blvd Ste 103
Orlando, FL 32835-3290
Phone (407) 395-2348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 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
I20051004000307 PR Practitioner - General Practice 6002841582 Practice locations: Salinas, PR
I20151124001664 FL Practitioner - General PracticePractitioner - Family Practice 6002841582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6150 Metrowest Blvd
Suite 103
Orlando, FL 32835-3290
Phone (407) 395-2348

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hosanna Medical Center PLLC General Practice CurrentSince Sep 19, 2017 Accepting new patients

Locations

16215 State Road 50
Ste 102
Clermont, FL 34711
Phone (352) 221-9136

6150 Metrowest Blvd
Ste 103
Orlando, FL 32835
Phone (407) 395-2348

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1346274982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 METROWEST BLVD STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353290",
            "telephone_number": "407-395-2348",
            "fax_number": "407-395-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 METROWEST BLVD STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353290",
            "telephone_number": "407-395-2348",
            "fax_number": "407-395-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ LOPEZ",
        "first_name": "YAMILLIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "15274",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15274",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.