Provider Demographics
NPI:1417917139
Name:CORTES-RIVERA, ROSA A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:A
Last Name:CORTES-RIVERA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:26 CALLE WASHINGTON
Mailing Address - Street 2:APT 11-B
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1513
Mailing Address - Country:US
Mailing Address - Phone:787-726-5486
Mailing Address - Fax:787-728-6031
Practice Address - Street 1:COND MADRID
Practice Address - Street 2:1760 LOIZA STREET SUITE 206
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911-1801
Practice Address - Country:US
Practice Address - Phone:787-726-5486
Practice Address - Fax:787-728-6031
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-25
Last Update Date:2014-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR010794207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG99092Medicare UPIN
PR90146Medicare PIN