Individual
LUIS RICARDO CORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2780 CLEVELAND AVE STE 4373, FORT MYERS, FL 33901-5858
(239) 343-0709
(239) 343-0533
Mailing address
PO BOX 2147, ATTN CREDENTIALING DEPT, FORT MYERS, FL 33902-2147
(239) 343-0709
(239) 343-0533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS9656
FL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
OS9656
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114331600
—
FL
Enumeration date
08/05/2006
Last updated
04/07/2026
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