| Doctor Name: | DR. ARIEL CORTES BADILLO |
| NPI Number: | 1245585231 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH. D. |
| License Number: | 4252 |
| Business Practice Address: | Hc 5 Box 10139 Moca, PR - 006769702 |
| Business Phone Number: | 7872026967 |
| Business Fax Number: | |
| Mailing Address: | Carr 4444 Km 0.9, Hc 05 Box 10139 MOCA |
| State: | PR |
| Postal Code: | 00676 |
| Phone Number: | 7872026967 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2012 |
| NPI Last Update Date: | 07/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 4252 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |