Provider Demographics
NPI:1376583666
Name:CORTES, MARITZA MILAGROS (MD)
Entity Type:Individual
Prefix:
First Name:MARITZA
Middle Name:MILAGROS
Last Name:CORTES
Suffix:
Gender:F
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:TERRAZAS DE GUAYNABO, N-10 CALLE PASCUA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5418
Mailing Address - Country:US
Mailing Address - Phone:787-518-0193
Mailing Address - Fax:
Practice Address - Street 1:URB. MARTOREL, B-3 CALLE LUIS MUOZ RIVERA
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-278-2222
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16344208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice