Active NPI
Michelle Cristina Cortes, P.A.
- Physician Assistant
- Plantation, FL
National Provider Identifier
1396938767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9103540
- Practice address
- 10025 Cleary Blvd
Plantation, FL 33324-1000 - Phone
- (954) 382-1550
- Fax
- (954) 382-1250
- NPI assigned
- Aug 20, 2007
- Last updated
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9103540 | FL | Primary |
Addresses
Primary practice location
10025 Cleary Blvd
Plantation, FL 33324-1000
Mailing address
10025 Cleary Blvd
Plantation, FL 33324-1000
Phone (954) 382-1550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9103540 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Specialists of South Florida | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFAJAA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Davie, FL
- NPI 1922012087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1396938767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10025 CLEARY BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241000",
"telephone_number": "954-382-1550",
"fax_number": "954-382-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10025 CLEARY BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241000",
"telephone_number": "954-382-1550",
"fax_number": "954-382-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES",
"first_name": "MICHELLE",
"middle_name": "CRISTINA",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9103540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
- Core Kinetics Physical Therapy & Rehab, LLC
- Lila Cornelio, RDN
- Gleysy Corrales
- Corrective Care Chiropractic of Plantation, Inc.
- Diane J Corson, OTR/L
- Maria R Cortti Ferrari, M.D.
- Cosby Logistics LLC (Guardian Reliable Transportation)
- Cosmopolitan Healing Center, LLC
- Steve Cossrow, D.M.D.
- Adalgiza E Costa Moron, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.