Individual provider Active NPI

Elsa Iris Borrero Ortiz

  • General Practice Physician
  • Clermont, FL
National Provider Identifier
1750901039
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
NJDCATEMP-011665 Issued in NJ
Practice address
1547 Pier St
Clermont, FL 34711-1942
Phone
(352) 978-3242
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NJDCATEMP-011665 NJ Primary

Addresses

Primary practice location

1547 Pier St
Clermont, FL 34711-1942

Mailing address

1547 Pier St
Clermont, FL 34711-1942
Phone (352) 978-3242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NJDCATEMP-011665NJMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1750901039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 PIER ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111942",
            "telephone_number": "352-978-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 PIER ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111942",
            "telephone_number": "352-978-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRERO ORTIZ",
        "first_name": "ELSA",
        "middle_name": "IRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "NJDCATEMP-011665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.