Individual provider Active NPI

Jorge Luis Alves, MEDICO CIRUJANO

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1467930891
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME149151 Issued in FL
Practice address
7051 Dr Phillips Blvd Ste 7
Orlando, FL 32819-5140
Phone
(407) 249-1234
Fax
(407) 249-1755
NPI assigned
Jul 28, 2018
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 14864-I PR
Pediatrics Physician 208000000X ME149151 FL Primary

Addresses

Primary practice location

7051 Dr Phillips Blvd Ste 7
Orlando, FL 32819-5140

Mailing address

11513 Lake Underhill Rd
Orlando, FL 32825-5001
Phone (407) 249-1234

Other practice location 1

Boulevard Dr Guillermo Arbona Centro Medico
San Juan, PR 00935-0001
Phone (787) 474-0333 ext. 7141

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME149151FLMDPediatrics Physician
14864-IPRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Pediatrics, Inc Pediatrics CurrentSince Jul 4, 2021 Accepting new patients
First Choice Pediatrics, Inc CurrentSince Jan 2, 2022 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Pediatrics Past Accepting new patients

Locations

11513 Lake Underhill Rd
Orlando, FL 32825

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": "1532736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1467930891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11513 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255001",
            "telephone_number": "407-249-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 DR PHILLIPS BLVD STE 7",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195140",
            "telephone_number": "407-249-1234",
            "fax_number": "407-249-1755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Boulevard Dr Guillermo Arbona Centro Medico",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-474-0333 x7141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVES",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "MEDICO CIRUJANO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-28",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "14864-I",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME149151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 2, 2021; 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.