Individual provider Active NPI

Paulino Milla-Orellana, M.D.

  • Pediatrics Physician
  • Altamonte Springs, FL
National Provider Identifier
1376509521
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0058262 Issued in FL
Practice address
661 E Altamonte Drive Ste 217
Altamonte Springs, FL 32701
Phone
(407) 339-3030
Fax
(407) 339-3003
NPI assigned
Apr 25, 2006
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME0058262 FL Primary

Addresses

Primary practice location

661 E Altamonte Drive Ste 217
Altamonte Springs, FL 32701

Mailing address

661 E Altamonte Drive Ste 217
Altamonte Springs, FL 32701
Phone (407) 339-3030

Other identifiers 1

IdentifierTypeStateIssuer
064188000MedicaidFL

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
I20090317000010 FL Practitioner - Pediatric Medicine 9032276118 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0058262FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Sep 30, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 30, 2019 Accepting new patients
Milla Pediatrics and Associates, Inc. Pediatrics PastSince Nov 23, 2010 Accepting new patients

Locations

661 E Altamonte Dr
Ste 217
Altamonte Springs, FL 32701
Phone (407) 339-3030

661 E Altamonte Dr
Ste 328
Altamonte Springs, FL 32701
Phone (407) 303-2158

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2902 N Orange Ave
Ste D
Orlando, FL 32804
Phone (407) 898-4116

Interoperability endpoints

  • Direct secure messaging: pmillaorellana72928@adventhealth.direct-ci.com

Organizations & group practices 3

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1376509521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DRIVE STE 217",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-339-3030",
            "fax_number": "407-339-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DRIVE STE 217",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-339-3030",
            "fax_number": "407-339-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLA-ORELLANA",
        "first_name": "PAULINO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0058262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064188000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.