Active NPI
Rosario Cortez Alcera, M.D.
- Psychiatry Physician
- Palm Bay, FL
National Provider Identifier
1457400442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0063024
- Practice address
- 1306 Whaling Ave SE
Palm Bay, FL 32909-6559 - Phone
- (609) 280-6501
- Fax
- (321) 220-0570
- NPI assigned
- Jan 9, 2007
- Last updated
- Aug 7, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0063024 | FL | Primary |
Addresses
Primary practice location
1306 Whaling Ave SE
Palm Bay, FL 32909-6559
Mailing address
1306 Whaling Ave SE
Palm Bay, FL 32909-6559
Phone (609) 280-6501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252350700 | Medicaid | FL | |
| 41283 | Other | FL | BLUE CROSS BLUE SHEILD |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0063024 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Management of NW FL, Inc. | Psychiatry | Past | Accepting new patients |
| Life Management of NW FL, Inc. | Psychiatry | Past | Accepting new patients |
| Life Management Center of Northwest Florida Inc | Psychiatry | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Blountstown, FL
- NPI 1659301877
-
dba Life Management Center of Northwest Florida Inc
- Psychiatry Physician
- Marianna, FL
- NPI 1255367579
-
- Psychiatry Physician
- Port St Joe, FL
- NPI 1316977515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1457400442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 WHALING AVE SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329096559",
"telephone_number": "609-280-6501",
"fax_number": "321-220-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 WHALING AVE SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329096559",
"telephone_number": "609-280-6501",
"fax_number": "321-220-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCERA",
"first_name": "ROSARIO",
"middle_name": "CORTEZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0063024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252350700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "41283",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
- Akshar Pharma LLC (Family Discount Pharmacy)
- Akshar Pharma LLC (Family Discount Pharmacy)
- Steve P Albert, RPH
- Albertsons LLC (Savon Pharmacy)
- Albion Group Home Incorporated (NNCJ one on one)
- Michael Anthony Alder, PHARMD
- Toya Ann Alder, ARNP-C
- Michael Blake Aldridge, RPH
- Aleman Integrated Health LLC
- Marie Elaine Aleman, MS, LPC, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.