Provider Demographics
NPI:1881857092
Name:CORTES VELEZ, DAVID JOEL (PT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JOEL
Last Name:CORTES VELEZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CAMINO LOS BAEZ
Mailing Address - Street 2:CONDOMINIO EL BOSQUE APT. 108
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9633
Mailing Address - Country:US
Mailing Address - Phone:787-649-7110
Mailing Address - Fax:
Practice Address - Street 1:UU43 CALLE 30
Practice Address - Street 2:URB. SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-4701
Practice Address - Country:US
Practice Address - Phone:787-787-8669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1382261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy