Individual provider Active NPI

Estuardo Jose Osorio Morataya

  • General Practice Dentistry
  • Winter Park, FL
National Provider Identifier
1902653348
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN32044 Issued in FL
Practice address
1973 Aloma Ave
Winter Park, FL 32792-3222
Phone
(407) 284-3475
NPI assigned
May 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL100127 MA
General Practice Dentistry 1223G0001X DN32044 FL Primary

Addresses

Primary practice location

1973 Aloma Ave
Winter Park, FL 32792-3222

Mailing address

32203 Carousel LN Apt 203
Lunenburg, MA 01462-2444
Phone (346) 323-0915

Other practice location 1

326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8100

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

State licenses

LicenseStateTypeSpecialty
DL100127MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentists of Winter Park, PA Dentist PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 1

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": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1902653348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32203 CAROUSEL LN APT 203",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014622444",
            "telephone_number": "346-323-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923222",
            "telephone_number": "407-284-3475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Nichols Rd",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "014201914",
            "country_code": "US",
            "telephone_number": "978-878-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSORIO MORATAYA",
        "first_name": "ESTUARDO",
        "middle_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-03",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL100127",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN32044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.