Individual provider Active NPI

Carlos Wilfredo Ortiz, M.D.

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1578699443
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
08340 Issued in PR
Practice address
100 NW 170TH St Ste 102
Miami, FL 33169-5510
Phone
(305) 685-5688
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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 08340 PR Primary
General Practice Physician 208D00000X ACN412 FL

Addresses

Primary practice location

100 NW 170TH St Ste 102
Miami, FL 33169-5510

Mailing address

P.O. 1197
Guayama, PR 00785-1197
Phone (787) 839-4150

Other practice location 1

B-9 Ave Los Veteranos
Urb Villa Rosa 3
Guayama, PR 00784
Phone (787) 382-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PR2 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
I20130412000005 FL Practitioner - General PracticePractitioner - Pediatric Medicine 1456597715 Reassigns benefits to 1 organization
I20140228001052 PR Practitioner - Pediatric MedicinePractitioner - General Practice 1456597715 Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08340PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Value Healthcare LLC CurrentSince Jul 7, 2025 Accepting new patients
Florida Urgent Care Center, LLC. Past Accepting new patients
Best Value Healthcare LLC PastSince Jun 22, 2021 Accepting new patients

Locations

3601 W Commercial Blvd
Ste 20
Ft Lauderdale, FL 33309
Phone (954) 368-4560

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1578699443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. 1197",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007851197",
            "telephone_number": "787-839-4150",
            "fax_number": "787-839-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695510",
            "telephone_number": "305-685-5688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "B-9 Ave Los Veteranos",
            "address_2": "Urb Villa Rosa 3",
            "address_purpose": "LOCATION",
            "city": "Guayama",
            "state": "PR",
            "postal_code": "00784",
            "country_code": "US",
            "telephone_number": "787-382-2223",
            "fax_number": "787-864-6642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "CARLOS",
        "middle_name": "WILFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "08340",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.