Individual provider Active NPI

Militza Rivera Cortes, P.A

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1790744670
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1056823
Practice address
4125 Hunters Park LN
Orlando, FL 32837-7615
Phone
(407) 447-7001
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1056823 Primary

Addresses

Primary practice location

4125 Hunters Park LN
Orlando, FL 32837-7615

Mailing address

712 Vichy LN
Kissimmee, FL 34759-7039
Phone (407) 988-7228

Other practice location 1

108 Park Place Blvd Ste C
Davenport, FL 33837-6877
Phone (863) 422-1734

Other practice location 2

Building5-4257 Bastogne Street Extension
Fort Bragg, NC 28310-0001
Phone (910) 907-2575

Other practice location 3

540 S Chickasaw Trl
Orlando, FL 32825-7804
Phone (407) 985-3977

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929002142 FL Practitioner - Physician Assistant 4587040464 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1790744670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 VICHY LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347597039",
            "telephone_number": "407-988-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 HUNTERS PARK LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377615",
            "telephone_number": "407-447-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Park Place Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338376877",
            "country_code": "US",
            "telephone_number": "863-422-1734",
            "fax_number": "863-421-1975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Building5-4257 Bastogne Street Extension",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283100001",
            "country_code": "US",
            "telephone_number": "910-907-2575",
            "fax_number": "910-907-4013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 S Chickasaw Trl",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328257804",
            "country_code": "US",
            "telephone_number": "407-985-3977",
            "fax_number": "407-985-1961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA CORTES",
        "first_name": "MILITZA",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1056823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.