Organization Active NPI

Luis R Cortes DO PA

  • Primary Care Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1467644336
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OS9656 Issued in FL
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

Updated by the provider on Mar 28, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.