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
Mailing address1205 S Woodland Blvd Ste 3, Deland, FL 32720-7464

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