Individual provider Active NPI

Rolando Urgelles del Toro, FNP-C

  • Medical Physician Assistant
  • Maitland, FL
National Provider Identifier
1619377439
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9117761 Issued in FL
Practice address
2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442
Phone
(407) 426-4800
Fax
(407) 426-4820
NPI assigned
Aug 28, 2014
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9117761 FL Primary
Family Nurse Practitioner 363LF0000X APRN11008864 FL
Primary Care Nurse Practitioner 363LP2300X APRN11008864 FL

Addresses

Primary practice location

2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442

Mailing address

2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442

Other identifiers 1

IdentifierTypeStateIssuer
APRN108546OtherFLMEDICAL LICENCE NUMBER

Other names 1

  • Rolando Urgelles Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220119001138 FL Practitioner - Nurse Practitioner 9537551858 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive and Liver Center of FL, LLCGroup PAC ID 2365467867, 23 clinicians

Practice addresses (Care Compare)

100 N Dean Rd
Suite 101
Orlando, FL 32825-3710
Phone (407) 348-7388

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
PA9117761FLMDMedical Physician Assistant
APRN11008864FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive and Liver Center of FL, LLC CurrentSince Jul 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Florida - Jacksonville II LLC CurrentSince Mar 12, 2024 Accepting new patients
Gi Urgent Care of Florida LLC CurrentSince Jul 1, 2025 Accepting new patients
Behavioral Support Services, Inc. Past Accepting new patients

Locations

785 S 2nd St
Defuniak Springs, FL 32435
Phone (850) 892-2176

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

100 N Dean Rd
Ste 100
Orlando, FL 32825

100 N Dean Rd
Ste 101
Orlando, FL 32825
Phone (407) 348-7388

206 N Dean Rd
Ste 110
Orlando, FL 32825
Phone (407) 900-7184

2250 Indian Creek Blvd W
Vero Beach, FL 32966
Phone (772) 562-7400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJGCAA

Organizations & group practices 4

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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1619377439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MAITLAND CENTER PKWY STE 310",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MAITLAND CENTER PKWY STE 310",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517442",
            "telephone_number": "407-426-4800",
            "fax_number": "407-426-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URGELLES DEL TORO",
        "first_name": "ROLANDO",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-28",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9117761",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008864",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11008864",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE NUMBER",
            "identifier": "APRN108546",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROLANDO",
            "last_name": "URGELLES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.