Provider Demographics
NPI:1801017074
Name:CORTES-CARDONA, CESAR F (MD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:F
Last Name:CORTES-CARDONA
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 1:183 CALLE DELBREY
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00911-2007
Mailing Address - Country:US
Mailing Address - Phone:787-777-3535
Mailing Address - Fax:787-777-3855
Practice Address - Street 1:UNIVERSITY OF PUERTO RICO
Practice Address - Street 2:BARRIO MONACILLOS, CENTRO MEDICO EDIFICIO CENTRAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-777-3535
Practice Address - Fax:787-777-3855
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR170962085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR17096OtherPUERTO RICO MEDICAL LICENSE