Provider Demographics
NPI:1982337291
Name:CORTES NUNEZ, EMMANUEL EDUARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:EMMANUEL
Middle Name:EDUARDO
Last Name:CORTES NUNEZ
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 1:9 URB LA SERRANIA
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-1801
Mailing Address - Country:US
Mailing Address - Phone:787-236-0137
Mailing Address - Fax:
Practice Address - Street 1:9 URB LA SERRANIA
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1801
Practice Address - Country:US
Practice Address - Phone:787-236-0137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-05
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR023441208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice