Active NPI
Monica M. Clemente-Ortiz, MD
- General Practice Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN708
- Practice address
- 780 4TH Ave S
St Petersburg, FL 33701-4412 - Phone
- (727) 502-0052
- Fax
- (727) 502-0057
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN708 | FL | Primary |
Addresses
Primary practice location
780 4TH Ave S
St Petersburg, FL 33701-4412
Mailing address
6101 Webb Rd Ste 203
Tampa, FL 33615-2865
Phone (813) 610-9031
Other practice location 1
6637 49th St N
Pinellas Park, FL 33781-5728
Phone (727) 528-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ACN708 | Other | FL | MEDICAL LICENSE NUMBER |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151117001871 | FL | Practitioner - General Practice | 5799005377 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University of Puerto Rico School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Best Value Healthcare LLC
Practice addresses (Care Compare)
6101 Webb Rd
Suite 104
Tampa, FL 33615-2859
Phone (813) 290-0422
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN708 | FL | MD | General Practice Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Value Healthcare LLC | Current | Accepting new patients | |
| Best Value Healthcare LLC | Past | Accepting new patients | |
| Medical Home Alliance LLC | Past | Accepting new patients |
Locations
3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505
6637 49th St N
Pinellas Park, FL 33781
Phone (727) 502-0052
601 7th St S
Ste 530
St Petersburg, FL 33701
Phone (727) 322-4228
780 4th Ave S
St Petersburg, FL 33701
Phone (727) 502-0052
6101 Webb Rd
Ste 104
Tampa, FL 33615
Phone (813) 290-0422
6101 Webb Rd
Ste 203
Tampa, FL 33615
Phone (813) 884-4794
1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
-
- Internal Medicine Physician
- Pinellas Park, FL
- NPI 1366011397
-
- Non-Pharmacy Dispensing Site
- Winter Haven, FL
- NPI 1033648233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1710093075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 WEBB RD STE 203",
"city": "TAMPA",
"state": "FL",
"postal_code": "336152865",
"telephone_number": "813-610-9031",
"fax_number": "877-868-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 4TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014412",
"telephone_number": "727-502-0052",
"fax_number": "727-502-0057"
}
],
"practiceLocations": [
{
"address_1": "6637 49th St N",
"address_purpose": "LOCATION",
"city": "Pinellas Park",
"state": "FL",
"postal_code": "337815728",
"country_code": "US",
"telephone_number": "727-528-8000",
"fax_number": "727-528-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLEMENTE-ORTIZ",
"first_name": "MONICA",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2023-03-07",
"certification_date": "2021-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "ACN708",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.