Doctor Name: | DR. ZIOLLY S. CORTIJO-CORTES |
NPI Number: | 1952567216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D, |
License Number: | 17254 |
Business Practice Address: | 1503-1507 Bill Beck Blvd Kissimmee, FL - 347449516 |
Business Phone Number: | 4073432050 |
Business Fax Number: | 4073432002 |
Mailing Address: | 1875 Boggy Creek Rd, KISSIMMEE |
State: | FL |
Postal Code: | 347444428 |
Phone Number: | 4073432000 |
Fax Number: | 4073432002 |
NPI Enumeration Date: | 08/05/2008 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17254 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |