Active NPI
Lisette Portes, MD
- Family Medicine Physician
- Homestead, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME142212
- Practice address
- 975 Baptist Way
Homestead, FL 33033-7600 - Phone
- (786) 243-8073
- Fax
- (786) 576-0471
- NPI assigned
- Jan 22, 2012
- Last updated
- Mar 10, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME142212 | FL | Primary |
| Physical Therapist | 225100000X | PT 21988 | FL |
Addresses
Primary practice location
975 Baptist Way
Homestead, FL 33033-7600
Mailing address
3115 SW 98TH CT
Miami, FL 33165-2954
Phone (305) 332-9821
Other practice location 1
9995 SW 72nd St Ste 202
Miami, FL 33173-4662
Phone (305) 332-9821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11805 S Dixie Hwy
Pinecrest, FL 33156-4439
Phone (786) 467-5201
13001 N Kendall Dr
Miami, FL 33186-1708
Phone (786) 596-3800
13500 SW 152 St
Miami, FL 33177-1111
Phone (786) 596-4300
14660 SW 8TH St
Suite 100
Miami, FL 33184-3135
Phone (786) 596-4100
20997 Old Cutler Rd
Cutler Bay, FL 33189-2469
Phone (786) 595-1780
8840 Bird Rd
Suite 100
Miami, FL 33165-5482
Phone (786) 596-3890
9995 SW 72ND St
Suite 202
Miami, FL 33173-4662
Phone (305) 332-9821
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME142212 | FL | MD | Family Medicine Physician |
| PT 21988 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Miami Inpatient Physicians | Current | Accepting new patients | |
| Urgent Care Physicians of Cutler Bay, LLC | Current | Accepting new patients | |
| First Docs PC | Current | Accepting new patients | |
| Urgent Care Physicians of Tamiami LLC | Current | Accepting new patients | |
| Urgent Care Physicians of Country Walk LLC | Current | Accepting new patients | |
| Lisette Portes MD PA | Current | Accepting new patients | |
| Urgent Care Physicians of Palmetto Bay LLC | Current | Accepting new patients | |
| QMC LLC | Past | Accepting new patients | |
| Active PT SVCS | Physical Therapist | Past | Accepting new patients |
| MG H2 LLC | Past | Accepting new patients |
Locations
20997 Old Cutler Rd
Cutler Bay, FL 33189
Phone (786) 595-1780
9500 NW 58th St
Doral, FL 33178
Phone (786) 595-3600
975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000
13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4300
14660 SW 8th St
#100
Miami, FL 33184
Phone (786) 596-4100
14661 SW 56th St
Miami, FL 33175
Phone (786) 457-5261
2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000
9995 SW 72nd St
Ste 202
Miami, FL 33173
Phone (305) 332-9821
8750 SW 144th St
Palmetto Bay, FL 33176
Phone (786) 596-3840
9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500
11805 S Dixie Hwy
Pinecrest, FL 33156
Phone (786) 467-5200
830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
6200 SW 73rd St
#69
South Miami, FL 33143
Phone (786) 662-4000
Organizations & group practices 12
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.
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1720750631
-
- General Practice Physician
- Miami, FL
- NPI 1689838849
-
- General Practice Physician
- Cutler Bay, FL
- NPI 1356163638
-
- General Practice Physician
- Palmetto Bay, FL
- NPI 1740403914
-
- General Practice Physician
- Miami, FL
- NPI 1639381965
-
- General Practice Physician
- Miami, FL
- NPI 1508989757
-
- General Practice Physician
- Miami, FL
- NPI 1992928162
-
- Internal Medicine Physician
- South Miami, FL
- NPI 1346313194
-
- Physical Therapist
- Miami, FL
- NPI 1346514338
-
- Hospitalist Physician
- Miami, FL
- NPI 1710583976
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
-
- Home Health Agency
- Miami, FL
- NPI 1871797522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1508137670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 SW 98TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652954",
"telephone_number": "305-332-9821",
"fax_number": "305-356-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 BAPTIST WAY",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330337600",
"telephone_number": "786-243-8073",
"fax_number": "786-576-0471"
}
],
"practiceLocations": [
{
"address_1": "9995 SW 72nd St Ste 202",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331734662",
"country_code": "US",
"telephone_number": "305-332-9821",
"fax_number": "305-356-4048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTES",
"first_name": "LISETTE",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-22",
"last_updated": "2022-03-10",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME142212",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 21988",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.