Provider Demographics
NPI:1467766964
Name:CORTES PHYSIATRIST SERVICES, PSC
Entity Type:Organization
Organization Name:CORTES PHYSIATRIST SERVICES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:CORTES SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-603-4421
Mailing Address - Street 1:3101 PASEO EL VERDE
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-0001
Mailing Address - Country:US
Mailing Address - Phone:787-258-3275
Mailing Address - Fax:787-258-3212
Practice Address - Street 1:201 AVE GAUTIER BENITEZ
Practice Address - Street 2:STE 308 CONSOLIDATED MEDICAL PLAZA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-258-3275
Practice Address - Fax:787-258-3212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty