Organization Active NPI

Corus Advantage Solutions, LLC

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1568046563
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CORUS ADVANTAGE SOLUTIONS, LLC
Practice address
500 N Hiatus Rd Ste 201
Pembroke Pines, FL 33026-5213
Phone
(954) 381-8989
Fax
(954) 381-8950
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Mrs. Diane Gutierrez
Title
Sr Vice President Operations
Phone
(305) 273-4641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

500 N Hiatus Rd Ste 201
Pembroke Pines, FL 33026-5213

Mailing address

PO Box 432040
Miami, FL 33243-2040
Phone (305) 273-4641

National Provider Directory

National Provider Directory

Locations

500 N Hiatus Rd
Ste 201
Pembroke Pines, FL 33026
Phone (954) 381-8989

Practitioners & affiliated clinicians

Practitioners 9

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": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1568046563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432040",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332432040",
            "telephone_number": "305-273-4641",
            "fax_number": "305-273-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N HIATUS RD STE 201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265213",
            "telephone_number": "954-381-8989",
            "fax_number": "954-381-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORUS ADVANTAGE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "SR VICE PRESIDENT OPERATIONS",
        "authorized_official_telephone_number": "305-273-4641",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.