Individual provider Active NPI

Jenyffer Denise Fagundez Ortiz, MD

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1790931327
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME136293 Issued in FL
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.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
ME136293FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of Hollywood LLC CurrentSince Jan 15, 2025 Accepting new patients
Health Associates, LLC Internal Medicine CurrentSince Jan 15, 2025 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

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME136293 FL Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.