Individual provider Active NPI

Gil Y Cortes, M.D.

  • Dermatology Physician
  • Aguadilla, PR
National Provider Identifier
1245320308
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
18888 Issued in PR
Practice address
Ave Severiano Cuevas
Western Medical Plaza, Suite 19
Aguadilla, PR 00603-5726
Phone
(787) 658-6306
Fax
(787) 658-6308
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME100407 FL
Dermatology Physician 207N00000X 18888 PR Primary

Addresses

Primary practice location

Ave Severiano Cuevas
Western Medical Plaza, Suite 19
Aguadilla, PR 00603-5726

Mailing address

PO Box 250477
Aguadilla, PR 00604-0477
Phone (787) 658-6306

Other practice location 1

929 N US Highway 441 Ste 603
Lady Lake, FL 32159-3003
Phone (352) 775-3565 ext. 35277

Other identifiers 1

IdentifierTypeStateIssuer
AK823YOtherFLMEDICARE PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL novudermatology.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PR2 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
I20080724000424 FL Practitioner - Dermatology 3971676982 Reassigns benefits to 1 organization
I20150212001350 PR Practitioner - Dermatology 3971676982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ponce School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novu Dermatology and Internal Medicine LLCGroup PAC ID 7315206307, 2 clinicians

Practice addresses (Care Compare)

929 N US Hwy 441
Suite 603
Lady Lake, FL 32159-3003
Phone (352) 775-3565

Ave Severiano Cuevas
Western Medical Plaza Primer Nivel Suite 19
Aguadilla, PR 00603
Phone (813) 508-4200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision298
Removal of skin lesions1038
Skin biopsy980

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100407FLMDDermatology Physician
18888PRMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novu Dermatology & Internal Medicine LLC Dermatology CurrentSince Dec 6, 2017 Accepting new patients
Cortes Dermatology & Internal Medicine PC Dermatology CurrentSince Dec 2, 2014 Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHIHBD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1245320308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250477",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040477",
            "telephone_number": "787-658-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SEVERIANO CUEVAS",
            "address_2": "WESTERN MEDICAL PLAZA, SUITE 19",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035726",
            "telephone_number": "787-658-6306",
            "fax_number": "787-658-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 N US Highway 441 Ste 603",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321593003",
            "country_code": "US",
            "telephone_number": "352-775-3565 x35277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTES",
        "first_name": "GIL",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME100407",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "18888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "AK823Y",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "novudermatology.com",
            "affiliation": "N",
            "address_1": "929 N US Highway 441 Ste 603",
            "city": "Lady Lake",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321593003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.