Altagracita Cornet, NURSE PRACTITIONER

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

11005233 Issued in FL

Practice address

16302 NW 14TH St
Pembroke Pines, FL 33028-1313

Phone

(786) 320-0760

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Altagracita Cornet Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1942877121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16302 NW 14TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281313",
            "telephone_number": "786-320-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16302 NW 14TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281313",
            "telephone_number": "786-320-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNET",
        "first_name": "ALTAGRACITA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "11005233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALTAGRACITA",
            "last_name": "CORNET",
            "prefix": "MRS.",
            "credential": "ALTAGRACITA CORNET",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Corinthians Primary Care and Wellness LLC
• Elisabeth Anne-Marie Coriolan
• Stephanie Marie-Louise Coriolan, MD
• Deborah Jill Corliss, DMD
• Cornerstone of Change, LLC
• Carmen Rosa Cornide, PSY. D.
• Dianelis Corral Lobaina
• Maysel Correa Bickham, P.A
• Anelys Correa, D.M.D
• Gabriel Jose Diaz Correa, MD

• Pediatric Adolescent Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Pediatric Adolescent Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.