Active NPI
Rafael Nathan Ortiz, BSW
- Specialist
- Winter Park, FL
National Provider Identifier
1861748709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 315 N Lakemont Ave
Winter Park, FL 32792-3205 - Phone
- (407) 792-5534
- NPI assigned
- Jul 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
315 N Lakemont Ave
Winter Park, FL 32792-3205
Mailing address
315 N. Lakemont Ave
Winter Park, FL 32792
Phone (305) 491-8693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9999999999 | Medicaid | FL |
Other names 1
- Mr. Rafael Nathan Ortiz
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1861748709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N. LAKEMONT AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32792",
"telephone_number": "305-491-8693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N LAKEMONT AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923205",
"telephone_number": "407-792-5534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "RAFAEL",
"middle_name": "NATHAN",
"name_prefix": "Mr.",
"credential": "BSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-30",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9999999999",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAFAEL",
"last_name": "ORTIZ",
"middle_name": "NATHAN",
"prefix": "MR.",
"credential": "B.S.W.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.