NPIMap

Individual provider Active NPI

Jacqueline Beatriz Cortizo-Hernandez, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Boca Raton, FL
National Provider Identifier
1972967701
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME141352 Issued in FL
Practice address
777 Glades Rd # BC-71
Boca Raton, FL 33431-6424
Phone
(561) 297-4828
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME141352 FL Primary

Addresses

Primary practice location

777 Glades Rd # BC-71
Boca Raton, FL 33431-6424

Mailing address

PO Box 734951
Chicago, IL 60673-4951
Phone (702) 899-0595

Other practice location 1

6363 Verde Trl
Boca Raton, FL 33433-7702
Phone (872) 231-3162 ext. 46397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408000660 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Internal Medicine 9830488899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Atlantic UniversityGroup PAC ID 8921097171, 25 clinicians

Practice addresses (Care Compare)

880 NW 13TH St
Suite 400
Boca Raton, FL 33486-2342
Phone (561) 566-5328

Hospital & facility affiliations

  • USA Home Health Services Home health agency, Plantation, FL, CCN 107397
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • John Knox Village of Pompano Beach Nursing home, Pompano Beach, FL, CCN 105255
  • Encore at Boca Raton Rehabilitation and Nursing Ce Nursing home, Boca Raton, FL, CCN 105506
  • Jupiter Rehabilitation and Healthcare Center Nursing home, Jupiter, FL, CCN 105555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health Southeast LLC Physical Medicine & Rehabilitation CurrentSince Oct 13, 2025 Accepting new patients
Florida Atlantic University CurrentSince Dec 7, 2024 Accepting new patients
Florida Atlantic University CurrentSince Dec 7, 2024 Accepting new patients
Florida Atlantic University Current Accepting new patients

Locations

9945 Central Park Blvd N
Boca Raton, FL 33428
Phone (561) 483-0498

6363 Verde Trl
Boca Raton, FL 33433
Phone (561) 226-1885

777 Glades Rd
#71
Boca Raton, FL 33431
Phone (561) 297-4828

7300 Del Prado Cir S
Boca Raton, FL 33433
Phone (561) 392-3000

880 NW 13th St
Ste 400
Boca Raton, FL 33486
Phone (561) 297-4814

5430 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3188

2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1972967701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734951",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734951",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES RD # BC-71",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316424",
            "telephone_number": "561-297-4828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6363 Verde Trl",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334337702",
            "country_code": "US",
            "telephone_number": "872-231-3162 x46397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTIZO-HERNANDEZ",
        "first_name": "JACQUELINE",
        "middle_name": "BEATRIZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME141352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.