Provider Demographics
NPI:1912978883
Name:CORTES, JOSE HUGO (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:HUGO
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 1:151 SE 15TH RD APT 1503
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-1246
Mailing Address - Country:US
Mailing Address - Phone:305-979-5334
Mailing Address - Fax:954-659-5560
Practice Address - Street 1:2950 CLEVELAND CLINIC BLVD
Practice Address - Street 2:CLEVELAND CLINIC OF FLORIDA
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3609
Practice Address - Country:US
Practice Address - Phone:954-659-5553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 0031750207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL32052OtherBLUE CROSS BLUE SHIELD
FL038947100Medicaid
FL038947100Medicaid
FL32052XMedicare ID - Type Unspecified