Provider Demographics
NPI:1255545034
Name:PABON CORTES, SALVADOR (MD)
Entity type:Individual
Prefix:DR
First Name:SALVADOR
Middle Name:
Last Name:PABON CORTES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:340 AVE FELISA R DE GAUTIER APT 2109
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6638
Mailing Address - Country:US
Mailing Address - Phone:787-707-0020
Mailing Address - Fax:787-782-2056
Practice Address - Street 1:107 GONZALEZ GUISTI AVE
Practice Address - Street 2:CAPARRA GALLERY BLDG SUITE 304
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-707-0020
Practice Address - Fax:787-782-2056
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR109052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR90065OtherTRIPLE S NUMBER