Provider Demographics
NPI:1619012028
Name:DR. GREGORIO A. CORTES-SOTO, PSC
Entity Type:Organization
Organization Name:DR. GREGORIO A. CORTES-SOTO, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:CORTES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-726-8396
Mailing Address - Street 1:PO BOX 1644
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-1644
Mailing Address - Country:US
Mailing Address - Phone:787-726-8396
Mailing Address - Fax:787-727-6672
Practice Address - Street 1:1826 AVE FERNANDEZ JUNCOS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-3004
Practice Address - Country:US
Practice Address - Phone:787-726-8396
Practice Address - Fax:787-727-6672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8035207R00000X
PR15033208D00000X
PR16033208D00000X
PR7660208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty