Lourdes Irina Costa

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3423 SE Bevil Ave
Port St Lucie, FL 34984-6539

Phone

(772) 579-7077

NPI assigned

Mar 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1275832503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 SE BEVIL AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349846539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 SE BEVIL AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349846539",
            "telephone_number": "772-579-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "LOURDES",
        "middle_name": "IRINA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger N Coron, MD
• Dagnis Coronado Sanchez, RBT
• Angelica Manzolillo Correa, FNP-C
• Rosario Correa, ARNP
• Danielle Jeanne Cossin, D.C.
• Christine Costello, LMT
• Charite Cotin-Valcin
• Cotin-Valcin, Charite Adult Family Care Home
• Iris R Cotto Febus
• Chanae Cottrell-Pratt

• Case Manager/Care Coordinator in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.