Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pedro Ortiz

Individual provider Other Technician · NPI 1629502463

Pedro Ortiz is a Physician Assistant in Deltona, Florida. Graduated from San Juan Bautista School of Medicine in 2024, 2 years ago. Practices with Northeast Florida Health Services, Inc, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
2
Trained at
San Juan Bautista School of Medicine
Licensed in
FL, PR
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1200 Deltona Blvd Apt 40A
Deltona, FL 32725-6386
Phone: (386) 202-6025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 99 Calle Guillermo Riefkohl, Patillas, PR 00723 — (787) 839-4320

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9119021 (FL)
Other Technician Taxonomy 247200000X · Licence 008557 (PR)

Record details

NPI number1629502463
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2017
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAN JUAN BAUTISTA SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Northeast Florida Health Services, Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Deltona