Provider Demographics
NPI:1326276825
Name:CORTEZ, ORLANDO P JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:P
Last Name:CORTEZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 W PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-5321
Mailing Address - Country:US
Mailing Address - Phone:419-509-1199
Mailing Address - Fax:
Practice Address - Street 1:7720 W PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-5321
Practice Address - Country:US
Practice Address - Phone:419-509-1199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.014741207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine