NPIMap

Organization Active NPI

Ortavera Corporation

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1720601057
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ORTAVERA CORPORATION
Doing business as
MOL Medical
Practice address
13500 SW 88TH St Ste 211
Miami, FL 33186-1528
Phone
(786) 873-7807
Fax
(786) 502-3985
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Dr. Alberto Orta Iglesias, MDNPI 1386167575
Title
President
Phone
(786) 718-5454

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Clinic/Center 261Q00000X

Addresses

Primary practice location

13500 SW 88TH St Ste 211
Miami, FL 33186-1528

Mailing address

14996 SW 108TH Ter
Miami, FL 33196-2507
Phone (786) 718-5454

Other practice location 1

13500 SW 88th St Ste 215
Miami, FL 33186-1531
Phone (786) 502-3985

Other names 1

  • MOL Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200709000587 FL Part B Supplier - Clinic/Group Practice 3072936046 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

13500 SW 88th St
Ste 211
Miami, FL 33186
Phone (786) 873-7807

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1720601057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14996 SW 108TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962507",
            "telephone_number": "786-718-5454",
            "fax_number": "786-502-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 SW 88TH ST STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861528",
            "telephone_number": "786-873-7807",
            "fax_number": "786-502-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13500 SW 88th St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331861531",
            "country_code": "US",
            "telephone_number": "786-502-3985",
            "fax_number": "305-549-8438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTAVERA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "ORTA IGLESIAS",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-718-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOL Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.