Gonzalo Ortiz

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

ME148138 Issued in FL

Practice address

741 Dunlawton Ave
Port Orange, FL 32127-9226

Phone

(800) 255-7188

Fax

(407) 423-9040

NPI assigned

Apr 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of South Florida College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magruder Eye Institute, PLLCGroup PAC ID 3971582024, 23 clinicians

Ophthalmic Partners of Florida PAGroup PAC ID 5698688182, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: gonzalo.ortiz.p1@direct.cfretina.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Magruder Eye Institute, PLLC

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1881661692
  Medicare reassignment Care Compare group NPD
• Ophthalmic Partners of Florida PA

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1740387968
  Medicare reassignment Care Compare group NPD
• Robson Eye Institute, PLLC

  • Ophthalmology Physician
  • Clearwater, FL
  • NPI 1881230167
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Halifax Hospital Medical Center

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1811991227
  Care Compare affiliation

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757203200000",
    "number": "1740713643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066263",
            "telephone_number": "407-893-8200",
            "fax_number": "407-893-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 DUNLAWTON AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279226",
            "telephone_number": "800-255-7188",
            "fax_number": "407-423-9040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 Health Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321141493",
            "country_code": "US",
            "telephone_number": "800-255-7188",
            "fax_number": "407-423-9040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1121 Miranda Ln",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347410763",
            "country_code": "US",
            "telephone_number": "800-255-7188",
            "fax_number": "407-423-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "GONZALO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME148138",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME148138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Orr
• Orthopaedic Clinic of Daytona Beach PA
• Orthopaedic Clinic of Daytona Beach PA
• Orthotic & Prosthetic Centers, Inc.
• Dannielle Ortiz, RN
• Jose Ortiz, DC
• Osl Operating LLC
• Ottaviani Chiropractic Center LLC
• Andrew Ottaviani, D.C.
• Amanda Owen

• Retina Specialist (Ophthalmology) Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Retina Specialist (Ophthalmology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2025; 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.

Verify at the official NPI Registry.