NPIMap

Organization Active NPI

Cornerstone Pediatrics

  • Pediatrics Physician
  • Port Saint Lucie, FL
National Provider Identifier
1912166935
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME79897 Issued in FL
Legal business name
CORNERSTONE PEDIATRICS
Practice address
380 SW Prima Vista Blvd
Port Saint Lucie, FL 34983-1984
Phone
(772) 785-8989
Fax
(772) 785-6164
NPI assigned
Jun 5, 2008
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Milton M Aponte, M.D.
Title
President
Phone
(772) 785-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME79897 FL Primary

Addresses

Primary practice location

380 SW Prima Vista Blvd
Port Saint Lucie, FL 34983-1984

Mailing address

PO Box 881027
Port Saint Lucie, FL 34988-1027
Phone (772) 785-8989

Other identifiers 2

IdentifierTypeStateIssuer
259749700MedicaidFL
58879OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

380 SW Prima Vista Blvd
Port St Lucie, FL 34983
Phone (772) 785-8989

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1912166935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 881027",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349881027",
            "telephone_number": "772-785-8989",
            "fax_number": "772-785-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SW PRIMA VISTA BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831984",
            "telephone_number": "772-785-8989",
            "fax_number": "772-785-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "APONTE",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-785-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME79897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259749700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58879",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

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