Active NPI
Hosanna Medical Center PLLC
- General Practice Physician
- Orlando, FL
National Provider Identifier
1710400841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- HOSANNA MEDICAL CENTER PLLC
- Practice address
- 6150 Metrowest Blvd Ste 103
Orlando, FL 32835-6019 - Phone
- (407) 395-2348
- Fax
- (407) 395-2349
- NPI assigned
- Jul 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yamillie S Ortiz Lopez, MD
- Title
- Owner
- Phone
- (407) 395-2348
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
6150 Metrowest Blvd Ste 103
Orlando, FL 32835-6019
Mailing address
6150 Metrowest Blvd Ste 103
Orlando, FL 32835-3290
Phone (407) 395-2348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2135329 | Hosanna Medical Center, PLLC | Certificate of waiver | Aug 20, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Orlando, FL
- NPI 1346274982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1710400841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6150 METROWEST BLVD STE 103",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328353290",
"telephone_number": "407-395-2348",
"fax_number": "407-395-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6150 METROWEST BLVD STE 103",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328356019",
"telephone_number": "407-395-2348",
"fax_number": "407-395-2349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSANNA MEDICAL CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-20",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "ORTIZ LOPEZ",
"authorized_official_first_name": "YAMILLIE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-395-2348",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Christopher Hortillo, M.D.
- Gerald Frederick Horton Jr., M.D.
- Lucas Huntley Horton, BCABA
- Karoly Horvath, M.D.
- Margaret Lindsey Coates Horvatich, LMHC
- Alissa Hosein, LDN
- Shannon Lise Hosie, MS P.T.
- Hoskins Healthcare Services LLC
- Carla Simone Hoskins, LICENSED NURSE
- Hospice of Integrated Health Services of District Viib Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.