Yalitza Marie Cortes Medina I, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3513 Issued in PR

Practice address

Calle Rafols Esquina del Carmen
#116
Quebradillas, PR 00678

Phone

(787) 897-2727

Fax

(787) 895-1540

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro de Salud de Lares, Inc

  dba Centro Integrados de Servicios de Salud

  • Federally Qualified Health Center (FQHC)
  • Quebradillas, PR
  • NPI 1235179532
  Medicare reassignment NPD
• Centro de Salud de Lares, Inc

  dba Farmacia Centro de Salud de Lares, Inc

  • Community/Retail Pharmacy
  • Lares, PR
  • NPI 1093544132
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1033937974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B18 CALLE 4",
            "address_2": "URB EL RETIRO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781606",
            "telephone_number": "910-644-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE RAFOLS ESQUINA DEL CARMEN",
            "address_2": "#116",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-897-2727",
            "fax_number": "787-895-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES MEDINA",
        "first_name": "YALITZA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cordero Ambulance Service Inc.
• Josue Francisco Cordero Santiago, PHARM.D.
• Israel Antonio Cordero-Valle, MD
• Elizabeth Cordero, R.P.T.
• Corporacion Servicios Profesionales Dr. Anibal Pagan
• Creciendo Con Amor LLC
• Juan Carlos Cruz Cruz, MD
• Ariana L Cruz Vera
• Wanda Isaury Cubero Cruz
• Cuidadores del Atlantico Inc.

• Dentist in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.