Affinity Healthcare Center at Waterford Lakes, P.L.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS11175 Issued in FL

Legal business name

AFFINITY HEALTHCARE CENTER AT WATERFORD LAKES, P.L.

Doing business as

Affinity Med Spa & Wellness Center

Practice address

779 N Alafaya TRL
Orlando, FL 32828-7047

Phone

(407) 381-4040

NPI assigned

Jul 26, 2016

Last updated

Sep 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Enrique Urrutia, DO

Title

Owner

Phone

(407) 381-4040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Affinity Med Spa & Wellness Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Affinity Healthcare Center at Waterford Lakes, P.L.

  • Physical Medicine & Rehabilitation Physician
  • Orlando, FL
  • NPI 1700058534

  Member Of

  NPD member

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1629521695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 N ALAFAYA TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 N ALAFAYA TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287047",
            "telephone_number": "407-381-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTHCARE CENTER AT WATERFORD LAKES, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "URRUTIA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-381-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS11175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OS11175",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Med Spa & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aetna Better Health of Florida Inc - Reg 7
• Aetna Specialty Pharmacy
• Aetna Specialty Pharmacy, LLC
• Safia Afaq, MD
• Anna Maria Affan, MD
• Affinity Healthcare Center at Waterford Lakes, P.L.
• Affordable Dentures & Implants - East Orlando, P.a.
• Affordable Dentures & Implants - Florida, PLLC
• Laura Summer Afghani
• Abimbola A Afolabi, MD

• Physical Medicine & Rehabilitation Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.