Organization Active NPI

Access Medical Group of Sand Lake, LLC

  • Adult Medicine Physician
  • Orlando, FL
National Provider Identifier
1881499861
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ACCESS MEDICAL GROUP OF SAND LAKE, LLC
Practice address
1233 Sand Lake Rd Ste 8
Orlando, FL 32809-7084
Phone
(407) 232-6160
Fax
(407) 220-1975
NPI assigned
Feb 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Rayny Ramirez
Title
Ceo
Phone
(786) 322-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

1233 Sand Lake Rd Ste 8
Orlando, FL 32809-7084

Mailing address

6100 Blue Lagoon Dr Ste 365
Miami, FL 33126-7010
Phone (786) 322-7333

Other practice location 1

1233 West Sand Lake Rd Ste 1
Orlando, FL 32809-7084
Phone (407) 232-6158

Other identifiers 1

IdentifierTypeStateIssuer
127613000MedicaidFL

Other names 1

  • COMMUNITY MEDICAL GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250722002750 FL Part B Supplier - Clinic/Group Practice 5991211328 Receives reassigned benefits from 2 practitioners
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2333282Access Medical Group of Sand Lake LLC1233 W Sand Lake Rd, Suite 1, Orlando, FL 32809Certificate of waiverNov 2, 2027
10D2333289Community Medical Group1233 W Sand Lake Rd Suite 8, Orlando, FL 32809Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Locations

1233 Sand Lake Rd
Ste 8
Orlando, FL 32809
Phone (407) 232-6160

1233 Sand Lake Rd
Ste 1
Orlando, FL 32809
Phone (407) 232-6158

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1881499861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR STE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267010",
            "telephone_number": "786-322-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SAND LAKE RD STE 8",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097084",
            "telephone_number": "407-232-6160",
            "fax_number": "407-220-1975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 West Sand Lake Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328097084",
            "country_code": "US",
            "telephone_number": "407-232-6158",
            "fax_number": "407-220-1974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACCESS MEDICAL GROUP OF SAND LAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "RAYNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-322-7333"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127613000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMMUNITY MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.