1. Home
  2. Directory
  3. NPI Profile

LUZ NILSA CORTES MD
NPI 1205897352
Internal Medicine - Hematology & Oncology in Fajardo, PR

Active since March 29, 2006PECOS Enrolled
77.81/100
CMS Quality Rating
410 AVE GENERAL VALERO, TORRE MEDICA HIMA, SUITE 303, FAJARDO, PR 00738(787) 801-0000(787) 860-7105 Get Directions Write a Review

NPPES record last updated: January 29, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Luz Nilsa Cortes Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUZ NILSA CORTES MD (NPI 1205897352) is an individual hematology & oncology provider in Fajardo, Puerto Rico, licensed in Puerto Rico (12895) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205897352
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameLUZ NILSA CORTESCredential: MD
Location Address410 AVE GENERAL VALERO, TORRE MEDICA HIMA, SUITE 303Fajardo, PR 00738-3949
Mailing AddressPo Box 4186Puerto Real, PR 00740-4186 · (787) 801-0000 · Fax (787) 860-7105
Phone(787) 801-0000
Fax(787) 860-7105
Sole ProprietorYes
Enumeration DateMarch 29, 2006
Last NPPES UpdateJanuary 29, 2017
✔ NPI 1205897352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in PR · 12895
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 12895 (PR)
410 AVE GENERAL VALERO, Fajardo, PR 00738
Open in Google Maps ↗

Other Names 1

Other Name (5)Luz Nilsa Cortes Morales Md

Other Identifiers 1

Medicare UPINH67637PR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luz Nilsa Cortes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00738 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.44 typical visit price
range $56.86 – $172.44
Typical copayment $43.11 (range $14.21 – $43.11)
Most-billed visit code 99205
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims1,074 services$0.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IVETTE FRANCESCHI NAZARIO M.D.
Psychiatry & Neurology (Psychiatry)
410 AVE GENERAL VALERO, TORRE MEDICA DEL ESTE - SUITE 405
FAJARDO, PR 00738
Fajardo Municipio (787) 860-0768
CENTRO DE HEMATOLOGIA Y ONCOLOGIA DEL ESTE CSP
Clinic/Center (Oncology)
410 AVE GENERAL VALERO, TORRE MEDICA HIMA, SUITE 303
FAJARDO, PR 00738
Fajardo Municipio (787) 801-0000
DR. JAIME MARCHENA ARRAUT M.D.
Psychiatry & Neurology (Psychiatry)
410 AVE GENERAL VALERO, TORRE MEDICA DEL ESTE - SUITE 405
FAJARDO, PR 00738
Fajardo Municipio (787) 860-0768
DR. GLORIMAR SANTOS M.D.
Internal Medicine (Pulmonary Disease)
410 AVE GENERAL VALERO, TORRE MEDICA SAN PABLO SUITE 304
FAJARDO, PR 00738
Fajardo Municipio (787) 801-5325
DR. JOSE E OTERO GARCIA M.D.
Otolaryngology
410 AVE GENERAL VALERO, STE 201
FAJARDO, PR 00738
Fajardo Municipio (787) 655-5062
MI MEDICO PRIMARIO INC
Clinic/Center (Primary Care)
410 AVE GENERAL VALERO, SUITE 307
FAJARDO, PR 00738
Fajardo Municipio (787) 863-4058
SERVICIOS MEDICOS DEL NORESTE
Health Maintenance Organization
410 AVE GENERAL VALERO, SUITE 307
FAJARDO, PR 00738
Fajardo Municipio (787) 863-4058
DR. SONIA ENID ORTIZ FLORES M.D.
Family Medicine (Geriatric Medicine)
410 AVE GENERAL VALERO, SUITE 504
FAJARDO, PR 00738
Fajardo Municipio (787) 863-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luz Cortes's NPI number?

The NPI number for Luz Cortes is 1205897352. It was assigned to this individual provider in the NPPES registry on March 29, 2006. The provider is also known as Luz Nilsa Cortes Morales MD.

Where is Luz Cortes located?

Luz Cortes practices at 410 Ave General Valero Torre Medica Hima, Suite 303, Fajardo, PR 00738. The listed phone number is (787) 801-0000.

What is Luz Cortes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Luz Cortes enrolled in Medicare?

Yes. Luz Cortes is registered in the Medicare PECOS enrollment system.

What insurance does Luz Cortes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Luz Cortes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luz Cortes was last updated on January 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.