Provider Demographics
NPI:1538136445
Name:CORTES, HECTOR RAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:RAUL
Last Name:CORTES
Suffix:
Gender:M
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:PO BOX 7263
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-7263
Mailing Address - Country:US
Mailing Address - Phone:787-743-0069
Mailing Address - Fax:787-258-6767
Practice Address - Street 1:AVE DEGETAU
Practice Address - Street 2:URB. BONNEVILLE HEIGHTS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-5819
Practice Address - Country:US
Practice Address - Phone:787-258-6767
Practice Address - Fax:787-258-6767
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10678208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF94455Medicare UPIN
PR0083025COMedicare ID - Type Unspecified