Active NPI
Jenyffer Denise Fagundez Ortiz, MD
- Internal Medicine Physician
- Pembroke Pines, FL
National Provider Identifier
1790931327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME136293
- Practice address
- 501 NW 179TH Ave
Pembroke Pines, FL 33029-2807 - Phone
- (954) 442-2828
- Fax
- (954) 442-3366
- NPI assigned
- Aug 14, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Pembroke Pines, FL
- NPI 1164041711
FL, Internal Medicine
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190108003902 | FL | Practitioner - Internal Medicine | 1052657228 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME136293 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of Hollywood LLC | Current | Accepting new patients | |
| Health Associates, LLC | Internal Medicine | Current | Accepting new patients |
Locations
5201 Hollywood Blvd
#2
Hollywood, FL 33021
Phone (954) 228-6619
2295 N University Dr
Pembroke Pines, FL 33024
Phone (954) 932-0132
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME136293 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
501 NW 179TH Ave
Pembroke Pines, FL 33029-2807
Mailing address
501 NW 179TH Ave
Pembroke Pines, FL 33029-2807
Phone (954) 442-2828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 27, 2025.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1790931327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 NW 179TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292807",
"telephone_number": "954-442-2828",
"fax_number": "954-442-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 NW 179TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292807",
"telephone_number": "954-442-2828",
"fax_number": "954-442-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGUNDEZ ORTIZ",
"first_name": "JENYFFER",
"middle_name": "DENISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME136293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.