Healthcare Provider Details

I. General information

NPI: 1164284808
Provider Name (Legal Business Name): CORTES MARIA LEWIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16821 NE 6TH AVE
NORTH MIAMI BEACH FL
33162-2405
US

IV. Provider business mailing address

PO BOX 613891
NORTH MIAMI FL
33261-3891
US

V. Phone/Fax

Practice location:
  • Phone: 786-752-6120
  • Fax:
Mailing address:
  • Phone: 786-752-6120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: