Provider Demographics
NPI:1518500305
Name:CORA, HECTOR JAVIER
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:JAVIER
Last Name:CORA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. VILLA DEL SOL D13
Mailing Address - Street 2:CALLE BARTOLOMEI
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795
Mailing Address - Country:US
Mailing Address - Phone:787-422-6321
Mailing Address - Fax:
Practice Address - Street 1:URB. VILLA DEL SOL D13
Practice Address - Street 2:CALLE BARTOLOMEI
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-422-6321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR289PA363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical