Individual provider Active NPI

Angelica Gabriela Ortiz, M.D.

  • Ophthalmology Physician
  • Pembroke Pines, FL
National Provider Identifier
1396109898
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME150839 Issued in FL
Practice address
17900 NW 5TH St Ste 204
Pembroke Pines, FL 33029-2809
Phone
(305) 222-7082
NPI assigned
Apr 11, 2016
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME150839 FL Primary

Addresses

Primary practice location

17900 NW 5TH St Ste 204
Pembroke Pines, FL 33029-2809

Mailing address

17900 NW 5TH St Ste 204
Pembroke Pines, FL 33029-2809
Phone (305) 222-7082

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
I20210802002582 FL Practitioner - Ophthalmology 2163837519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nelson Preschel MD PAGroup PAC ID 2961536131, 2 clinicians

Practice addresses (Care Compare)

17900 NW 5TH St
Suite 204
Pembroke Pines, FL 33029-2809
Phone (305) 222-7082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150839FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Outpatient Surgical Center, LLC CurrentSince Mar 24, 2025 Accepting new patients
Nelson Preschel., M.D., P.a. Ophthalmology CurrentSince Jan 1, 2026 Accepting new patients

Locations

44 Barkley Cir
Fort Myers, FL 33907
Phone (239) 437-4010

2889 10th Ave N
Palm Springs, FL 33461
Phone (561) 227-3167

2889 10th Ave N
Ste 306
Palm Springs, FL 33461
Phone (561) 227-3101

17900 NW 5th St
Ste 204
Pembroke Pines, FL 33029
Phone (305) 222-7082

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1396109898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 NW 5TH ST STE 204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292809",
            "telephone_number": "305-222-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 NW 5TH ST STE 204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292809",
            "telephone_number": "305-222-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ANGELICA",
        "middle_name": "GABRIELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME150839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.