Provider Demographics
NPI:1346249687
Name:CORTES, GLORIVEE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:GLORIVEE
Middle Name:
Last Name:CORTES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 6 BOX 67554
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-9856
Mailing Address - Country:US
Mailing Address - Phone:787-891-9044
Mailing Address - Fax:787-826-4400
Practice Address - Street 1:59 CALLE DAGUEY
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-2602
Practice Address - Country:US
Practice Address - Phone:787-229-1313
Practice Address - Fax:787-826-7384
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4712183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist