Active NPI
Luis R Cortes DO PA
- Primary Care Clinic/Center
- Fort Lauderdale, FL
National Provider Identifier
1467644336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- OS9656
- Legal business name
- LUIS R CORTES DO PA
- Practice address
- 255 SE 14TH St
Suite 1C
Fort Lauderdale, FL 33316-1852 - Phone
- (954) 358-9900
- Fax
- (954) 358-9901
- NPI assigned
- Aug 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis Ricardo Cortes, D.O.
- Title
- President
- Phone
- (954) 358-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | OS9656 | FL | Primary |
Addresses
Primary practice location
255 SE 14TH St
Suite 1C
Fort Lauderdale, FL 33316-1852
Mailing address
255 SE 14TH St
Suite 1C
Fort Lauderdale, FL 33316-1852
Phone (954) 358-9900
National Provider Directory
National Provider DirectoryLocations
255 SE 14th St
Ste 1C
Ft Lauderdale, FL 33316
Phone (954) 358-9900
1777 S Andrews Ave
Ste 201
Ft Lauderdale, FL 33316
Phone (954) 358-9900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1992882468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206662400000",
"number": "1467644336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 SE 14TH ST",
"address_2": "SUITE 1C",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161852",
"telephone_number": "954-358-9900",
"fax_number": "954-358-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 SE 14TH ST",
"address_2": "SUITE 1C",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161852",
"telephone_number": "954-358-9900",
"fax_number": "954-358-9901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUIS R CORTES DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-15",
"last_updated": "2008-03-28",
"status": "A",
"authorized_official_last_name": "CORTES",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "RICARDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-358-9900",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "OS9656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.