Provider Demographics
NPI:1144596768
Name:CORTES, AIMEE V (MSW)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:V
Last Name:CORTES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20936
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-0936
Mailing Address - Country:US
Mailing Address - Phone:939-891-0131
Mailing Address - Fax:
Practice Address - Street 1:CONDOMINIO LAGOS DEL NORTE
Practice Address - Street 2:APARTAMENTO 806
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:939-891-0131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR168971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical