Ines Rutty LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INES RUTTY LLC

Practice address

871 Vineland Rd Ste B
Winter Garden, FL 34787-3938

Phone

(412) 251-9291

NPI assigned

Dec 5, 2018

Organization subpart

No

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

Authorized official

Name

Ines Alejandra Serrano Vilca, MDNPI 1659808285

Title

Physician

Phone

(412) 251-9291

Specialties & licenses 1

Addresses

Other names 1

• Mercy Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 2

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

• Ines Alejandra Serrano Vilca, MD

  • Family Medicine Physician
  • Clermont, FL
  • NPI 1659808285
  Medicare reassignment Authorized official
• Angelo Rutty Espinoza

  • General Practice Physician
  • Winter Garden, FL
  • NPI 1790169423
  Medicare reassignment

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1902376783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 VINELAND RD STE B",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873938",
            "telephone_number": "412-251-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 VINELAND RD STE B",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873938",
            "telephone_number": "412-251-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INES RUTTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "SERRANO VILCA",
        "authorized_official_first_name": "INES",
        "authorized_official_middle_name": "ALEJANDRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "412-251-9291",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.