Wilshire Medical Arts PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME31998 Issued in FL

Legal business name

WILSHIRE MEDICAL ARTS PA

Practice address

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

Phone

(941) 625-1275

NPI assigned

Dec 19, 2008

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, MD

Title

Owner

Phone

(941) 625-1275

Specialties & licenses 1

Addresses

Other names 1

• Luis D Berrios Doing business as

Locations

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"
        }
    ]
}

• Kimberly Wilcox
• Simone Williamd
• Andre M Williams, DPM
• Audrey Jean Williams, LCSW
• Khalilah Williams
• 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.