| Dr Gabriel Carlos Ortiz Rivera, | |
|
876 Saxon Blvd, Orange City, FL 32763-8214 | |
| (386) 774-0491 | |
| (386) 774-0492 |
| Full Name | Dr Gabriel Carlos Ortiz Rivera |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 10 Years |
| Location | 876 Saxon Blvd, Orange City, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932728557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ACN1473 (Florida) | Primary |
| 208D00000X | General Practice | 21874 (Puerto Rico) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgent Care Center Of Longwood Llc | 0345595286 | 3 |
| Conviva Medical Center Management, Llc | 4284717422 | 491 |
| Internal Medicine Llc | 5698131886 | 4 |
| Entity Name | Longwood Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235323023 PECOS PAC ID: 0941198519 Enrollment ID: O20040305000618 |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Entity Name | Urgent Care Center Of Longwood Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093905986 PECOS PAC ID: 0345595286 Enrollment ID: O20180619000028 |
| Entity Name | Leaf Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073240016 PECOS PAC ID: 8224409057 Enrollment ID: O20230113001676 |
| Entity Name | Internal Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164161840 PECOS PAC ID: 5698131886 Enrollment ID: O20230512001735 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gabriel Carlos Ortiz Rivera, 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Dr Gabriel Carlos Ortiz Rivera, 876 Saxon Blvd, Orange City, FL 32763-8214 Ph: (386) 774-0491 |
Luis Daniel Ramos, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1668 S Volusia Ave, Orange City, FL 32763 Phone: 386-668-9831 Fax: 386-668-9841 | |
Dr. Nancy D Ortiz, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 876 Saxon Blvd, Orange City, FL 32763 Phone: 386-668-9800 | |
Dr. Kris M Bly, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 2777 Enterprise Rd, Orange City, FL 32763 Phone: 386-774-2550 Fax: 386-774-5667 | |
Mr. Jay C Chanmugam, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 1133 Saxon Blvd, Orange City, FL 32763 Phone: 386-228-9700 | |
Dr. Juan Santiago, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1668 S Volusia Ave, Orange City, FL 32763 Phone: 386-668-9831 | |
Dr. Travis Lloyd Herring, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 106 W Fern Dr, Orange City, FL 32763 Phone: 386-775-0525 | |
Dr. Edgar B George, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 938 Saxon Blvd Ste D, Orange City, FL 32763 Phone: 352-259-2159 Fax: 352-259-5731 |