Individual provider Active NPI

Robert Ortega III, NEMT PROVIDER

  • Basic Emergency Medical Technician
  • Homestead, FL
National Provider Identifier
1538727359
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
JT73597 Issued in FL
Practice address
1513 SE 20TH PL
Homestead, FL 33035-2609
Phone
(305) 582-6368
Fax
(904) 369-9015
NPI assigned
Jun 5, 2019
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X JT73597 FL Primary

Addresses

Primary practice location

1513 SE 20TH PL
Homestead, FL 33035-2609

Mailing address

1513 SE 20TH PL
Homestead, FL 33035-2609
Phone (305) 582-6368

Other identifiers 1

IdentifierTypeStateIssuer
343900000XOtherFLNON-EMERGENCY MEDICAL TRANSPORTATION (VAN)

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ridemobiletransport@gmx.com Direct

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

State licenses

LicenseStateTypeSpecialty
JT73597FLMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Khakirob Inc Past Accepting new patients

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1538727359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 SE 20TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352609",
            "telephone_number": "305-582-6368",
            "fax_number": "904-369-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 SE 20TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352609",
            "telephone_number": "305-582-6368",
            "fax_number": "904-369-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "ROBERT",
        "name_suffix": "III",
        "credential": "NEMT PROVIDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "FL",
            "license": "JT73597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-EMERGENCY MEDICAL TRANSPORTATION (VAN)",
            "identifier": "343900000X",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ridemobiletransport@gmx.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1513 SE 20th Pl",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330352609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.