Wilshire Medical Arts PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME31998 Issued in FL

Legal business name

WILSHIRE MEDICAL ARTS PA

Doing business as

Luis D Berrios

Practice address

425 Cross St
Suite 311 & 312
Punta Gorda, FL 33950-4877

Phone

(941) 625-1275

NPI assigned

Dec 19, 2008

Last updated

Dec 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luis D Berrios, MDNPI 1497829584

Title

Owner

Phone

(941) 625-1275

Specialties & licenses 1

Addresses

Other names 1

• Luis D Berrios Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis D Berrios, MD

  • Family Medicine Physician
  • Punta Gorda, FL
  • NPI 1497829584
  Authorized official Same address or phone

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1487890547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CROSS ST",
            "address_2": "SUITE 311 & 312",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504877",
            "telephone_number": "941-625-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CROSS ST",
            "address_2": "SUITE 311 & 312",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504877",
            "telephone_number": "941-625-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE MEDICAL ARTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "BERRIOS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-625-1275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME31998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luis D Berrios",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Simone Williamd
• Andre M Williams, DPM
• Audrey Jean Williams, LCSW
• Khalilah Williams
• Marim A Williams, APRN
• Kristin Wilson, APRN
• Samantha Ryan Wilson, LMHC
• Amanda Wood, LCSW
• David Aaron Woodruff, D.D.S
• Cristin Nicole Wooten, ARNP-FNP

• Internal Medicine Physician in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.