Doctor Name: | IVAN JOSE CORTES |
NPI Number: | 1366507006 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 9935 |
Business Practice Address: | 44 Calle Carazo Office 2b Guaynabo, PR - 009695603 |
Business Phone Number: | 7872876545 |
Business Fax Number: | 7872872273 |
Mailing Address: | 38 Calle Capri, Paseo Las Brisas SAN JUAN |
State: | PR |
Postal Code: | 009265947 |
Phone Number: | 7877480046 |
Fax Number: | 7872872273 |
NPI Enumeration Date: | 12/22/2006 |
NPI Last Update Date: | 10/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 9935 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |