Organization Active NPI

Advanced Neurotherapeutics LLC

Doing business as Neurology One

  • Neurology Physician
  • Orlando, FL
National Provider Identifier
1962987610
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ADVANCED NEUROTHERAPEUTICS LLC
Doing business as
Neurology One
Practice address
92 N Dean Rd Ste 100
Orlando, FL 32825-3769
Phone
(407) 916-0304
Fax
(888) 960-6364
NPI assigned
Sep 28, 2018
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Dr. Ramon Luis Rodriguez-CruzNPI 1255377099
Title
Medical Director
Phone
(407) 916-0304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

92 N Dean Rd Ste 100
Orlando, FL 32825-3769

Mailing address

11954 Narcoossee Rd #2
Suite 150
Orlando, FL 32832
Phone (407) 916-0304

Other names 1

  • Neurology One Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190218000070 FL Part B Supplier - Clinic/Group Practice 2163760117 Receives reassigned benefits from 7 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
10D2279324Advanced Neurotherapeutics PLLC92 N Dean Rd Suite 100, Orlando, FL 32825Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory

Locations

11954 Narcoossee Rd
Ste 150
Orlando, FL 32832

8624 Lee Vista Blvd
Ste 2
Orlando, FL 32829
Phone (407) 572-7300

8624 Lee Vista Blvd
Ste C
Orlando, FL 32829

92 N Dean Rd
Ste 100
Orlando, FL 32825
Phone (407) 706-3060

7151 University Blvd
Ste 100
Winter Park, FL 32792
Phone (844) 825-6724

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1962987610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11954 NARCOOSSEE RD #2",
            "address_2": "SUITE 150",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32832",
            "telephone_number": "407-916-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 N DEAN RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253769",
            "telephone_number": "407-916-0304",
            "fax_number": "888-960-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEUROTHERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-CRUZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-916-0304",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurology One",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neurology One",
            "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 Sep 3, 2024; 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.