Provider Demographics
NPI:1780307124
Name:CORTES, LESLY SOTO JR (MSW)
Entity type:Individual
Prefix:MISS
First Name:LESLY
Middle Name:SOTO
Last Name:CORTES
Suffix:JR
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 5 BOX 10747
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-9761
Mailing Address - Country:US
Mailing Address - Phone:787-546-1582
Mailing Address - Fax:
Practice Address - Street 1:BO CUCHILLA SECTOR LORENZO CARR 444
Practice Address - Street 2:KM 1.8 INTERIOR
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-9761
Practice Address - Country:US
Practice Address - Phone:787-546-1582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR229391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical