Philippe Louis-Jacques, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9103385 Issued in FL

Practice address

671 NW 119 Street
North Miami, FL 33168

Phone

(305) 688-0811

Fax

(305) 688-6304

NPI assigned

Nov 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1225219975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 ISLAND DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330234606",
            "telephone_number": "954-338-5236",
            "fax_number": "954-338-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 NW 119 STREET",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33168",
            "telephone_number": "305-688-0811",
            "fax_number": "305-688-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS-JACQUES",
        "first_name": "PHILIPPE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001126500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yainet Lorenzo Perez
• Miravida Votacion Lorzano
• Lotus House Recovery Center LLC
• Lotus House Recovery LLC
• Sherence Louidor
• Darling D Louis, APRN, NP-C
• Lucinda Louis
• Rose Therese Louis
• Lourmeq Corp
• Brandon Lang Lovelace, RBT

• Medical Physician Assistant in North Miami, FL
• Providers in North Miami, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.