Provider Demographics
NPI:1811332315
Name:ROSA-CORTES, PEDRO A (MD)
Entity type:Individual
Prefix:
First Name:PEDRO
Middle Name:A
Last Name:ROSA-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 1:450 AVE DE LA CONSTITUCION PH F
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901-2311
Mailing Address - Country:US
Mailing Address - Phone:787-360-7678
Mailing Address - Fax:
Practice Address - Street 1:735 AVE PONCE DE LEON, STE 816
Practice Address - Street 2:HOSPITAL AUXILIO MUTUO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-763-1025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-10
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI85161207RG0100X
PR19463207RG0100X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine