Provider Demographics
NPI:1043929995
Name:CORTEZ, RAYMART (DNP)
Entity Type:Individual
Prefix:
First Name:RAYMART
Middle Name:
Last Name:CORTEZ
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1296 KAPIOLANI BLVD APT 702
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2878
Mailing Address - Country:US
Mailing Address - Phone:808-312-0284
Mailing Address - Fax:
Practice Address - Street 1:1296 KAPIOLANI BLVD APT 702
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2878
Practice Address - Country:US
Practice Address - Phone:808-312-0284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3835-0363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner