Individual provider Active NPI

Jorge L Mastrapa, CRNA

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
National Provider Identifier
1831144823
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP3337822 Issued in FL
Practice address
92 West Miller St.
Orlando, FL 32806-2032
Phone
(407) 649-9111
Fax
(321) 841-4603
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP3337822 FL Primary

Addresses

Primary practice location

92 West Miller St.
Orlando, FL 32806-2032

Mailing address

92 West Miller St.
Orlando, FL 32806-2032
Phone (407) 649-9111

Other identifiers 2

IdentifierTypeStateIssuer
304949300MedicaidFL
G2518OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000345 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133243249 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Endoscopy Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2020 Accepting new patients
Gastromed, LLC CurrentSince Dec 9, 2024 Accepting new patients
Pelican Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2015 Accepting new patients
Centurian Anesthesia Management Nurse Anesthetist, Certified Registered CurrentSince Sep 21, 2022 Accepting new patients
Ahp of Altamonte Springs LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

5101 SW 8th St
Ste 201
Coral Gables, FL 33134
Phone (305) 262-6060

5101 SW 8th St
Coral Gables, FL 33134
Phone (305) 441-1570

5101 SW 8th St
Ste 100
Coral Gables, FL 33134

5101 SW 8th St
Ste 200
Coral Gables, FL 33134
Phone (305) 262-6060

6241 Arc Way
Fort Myers, FL 33966
Phone (239) 278-9955

6241 Arc Way
Ste B
Fort Myers, FL 33966
Phone (239) 278-9955

434 Washington Ave
Homestead, FL 33030
Phone (786) 384-7101

8390 W Flagler St
Ste 221
Miami, FL 33144
Phone (305) 226-5574

17355 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 245-0846

Organizations & group practices 5

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1831144823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 WEST MILLER ST.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062032",
            "telephone_number": "407-649-9111",
            "fax_number": "321-841-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 WEST MILLER ST.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062032",
            "telephone_number": "407-649-9111",
            "fax_number": "321-841-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRAPA",
        "first_name": "JORGE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3337822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304949300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G2518",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.