Provider Demographics
NPI:1245320308
Name:CORTES, GIL Y (MD)
Entity type:Individual
Prefix:DR
First Name:GIL
Middle Name:Y
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 250477
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-0477
Mailing Address - Country:US
Mailing Address - Phone:787-658-6306
Mailing Address - Fax:
Practice Address - Street 1:AVE SEVERIANO CUEVAS
Practice Address - Street 2:WESTERN MEDICAL PLAZA, SUITE 19
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5726
Practice Address - Country:US
Practice Address - Phone:787-658-6306
Practice Address - Fax:787-658-6308
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100407207N00000X
PR18888207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAK823YOtherMEDICARE PIN
FLAK823ZMedicare PIN
FL1063845OtherCAREPLUS
FL9845151OtherAETNA
FLP00617947OtherRAILROAD MEDICARE
FL281104900Medicaid
FL32288OtherBCBS OF FLORIDA
FL316853OtherAVMED