Individual provider Active NPI

Lisette Portes, MD

  • Family Medicine Physician
  • Homestead, FL
National Provider Identifier
1508137670
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME142212 Issued in FL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200807000296 FL Practitioner - Family Practice 9931524972 Reassigns benefits to 9 organizations

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
Urgent Care Physicians of Palmetto Bay LLCGroup PAC ID 9032202049, 32 clinicians
Urgent Care Physicians of West Kendall LLCGroup PAC ID 4789772591, 31 clinicians
Urgent Care Physicians of Country Walk LLCGroup PAC ID 6204990385, 34 clinicians
Urgent Care Physicians of Tamiami LLCGroup PAC ID 3375632805, 30 clinicians
Urgent Care Physicians of Cutler Bay LLCGroup PAC ID 2961923305, 22 clinicians
Urgent Care Physicians of Westchester LLCGroup PAC ID 4486747490, 23 clinicians

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

LicenseStateTypeSpecialty
ME142212FLMDFamily Medicine Physician
PT 21988FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Inpatient Physicians CurrentSince Jul 1, 2024 Accepting new patients
Urgent Care Physicians of Cutler Bay, LLC CurrentSince Dec 29, 2025 Accepting new patients
First Docs PC CurrentSince Jul 1, 2024 Accepting new patients
Urgent Care Physicians of Tamiami LLC CurrentSince Sep 1, 2020 Accepting new patients
Urgent Care Physicians of Country Walk LLC CurrentSince Sep 1, 2020 Accepting new patients
Lisette Portes MD PA CurrentSince Oct 1, 2021 Accepting new patients
Urgent Care Physicians of Palmetto Bay LLC CurrentSince Sep 1, 2020 Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients
Active PT SVCS Physical Therapist PastSince Sep 23, 2021 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.