Individual provider Active NPI

Cristobal Fernando Risquez Cordovez, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Miami, FL
National Provider Identifier
1083980031
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME150756 Issued in FL
Practice address
7000 SW 97TH Ave Ste 120
Miami, FL 33173-1474
Phone
(786) 299-5419
Fax
(844) 431-6801
NPI assigned
Mar 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME150756 FL Primary
Pulmonary Disease Physician 207RP1001X ME150756 FL

Addresses

Primary practice location

7000 SW 97TH Ave Ste 120
Miami, FL 33173-1474

Mailing address

PO Box 562435
Miami, FL 33256-2435
Phone (786) 299-5419

Other identifiers 1

IdentifierTypeStateIssuer
ME150756OtherFLSTATE LICENSE

Other names 1

  • Cristobal Fernando Risquez Cordovez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180905002812 TN Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 5991055378 Reassigns benefits to 1 organization
I20210624002640 FL Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 5991055378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

3663 S Miami Ave
Miami, FL 33133-4253
Phone (615) 272-8900

979 E 3Rd St
Suite C735
Chattanooga, TN 37403-3310
Phone (423) 778-9101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Oct 26, 2024 Accepting new patients
Pedro Sevilla LLC Critical Care Medicine CurrentSince Jul 1, 2021 Accepting new patients
Intensive Care Consortium Inc Critical Care Medicine CurrentSince Feb 1, 2024 Accepting new patients
Erlanger Health CurrentSince Oct 26, 2024 Accepting new patients

Locations

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

7000 SW 97th Ave
Ste 120
Miami, FL 33173
Phone (305) 670-0055

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

979 E 3rd St
Ste C735
Chattanooga, TN 37403
Phone (423) 778-9101

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: cristobal.risquezcordovez@hca4.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1083980031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562435",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332562435",
            "telephone_number": "786-299-5419",
            "fax_number": "844-431-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE STE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731474",
            "telephone_number": "786-299-5419",
            "fax_number": "844-431-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISQUEZ CORDOVEZ",
        "first_name": "CRISTOBAL FERNANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-23",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME150756",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME150756",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME150756",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTOBAL",
            "last_name": "RISQUEZ CORDOVEZ",
            "middle_name": "FERNANDO",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.