NPI 1881678290 · live from the CMS NPI Registry
Jesusa Milalaine Terrado Fortu, MD
Pediatrics, Pediatric Emergency Medicine in Hollywood, FL. National Provider Identifier 1881678290, active.
NPI record
| NPI | 1881678290 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 1000 Joe Dimaggio Dr, Pediatric Emergency Department, Hollywood, FL 33021 |
| Practice phone | 954-987-2000 |
| Mailing address | 12300 Nw 10th St, Plantation, FL 33323 |
| Enumerated | November 30, 2005 |
| Last updated | April 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine, Pediatric Emergency Medicine | 207PP0204X | ME91339 (FL) |
| Pediatrics | 208000000X | 38856 (KY) |
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | 38856 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.