Provider Demographics
NPI:1558510511
Name:CORTES LADINO, RAUL ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:RAUL
Middle Name:ALBERTO
Last Name:CORTES LADINO
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 10169
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33101-0169
Mailing Address - Country:US
Mailing Address - Phone:305-535-3300
Mailing Address - Fax:305-535-3356
Practice Address - Street 1:4306 ALTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2840
Practice Address - Country:US
Practice Address - Phone:305-535-3300
Practice Address - Fax:305-535-3356
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1272792084P2900X, 282N00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No282N00000XHospitalsGeneral Acute Care Hospital