GONZALO ORTIZ NPI 1740713643

NPI Information

  • NPI: 1740713643
  • Provider Name: GONZALO ORTIZ
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 741 DUNLAWTON AVE
    PORT ORANGE, FL
    ZIP 32127
  • Phone: (800) 255-7188

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NPI Details

Gonzalo Ortiz is a retina specialist ophthalmology in Port Orange, FL with 9 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Gonzalo Ortiz NPI is 1740713643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

741 DUNLAWTON AVE
PORT ORANGE, FL
ZIP 32127-226
Phone: (800) 255-7188
Fax: (407) 423-9040

The NPI 1740713643 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 4/6/2017 and was last updated on 9/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyME148138FLORIDANo
2207WX0107XOphthalmologyRetina SpecialistME148138FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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