Active NPI
Luis Cortes
- Clinical Psychologist
- Aguada, PR
National Provider Identifier
1396977781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1703
- Practice address
- Ave. Nativo Alers
Edificio Plaza Coopelia, #205, Segundo Piso
Aguada, PR 00602 - Phone
- (787) 868-1945
- Fax
- (787) 868-1945
- NPI assigned
- Aug 18, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1703 | PR | Primary |
Addresses
Primary practice location
Ave. Nativo Alers
Edificio Plaza Coopelia, #205, Segundo Piso
Aguada, PR 00602
Mailing address
PO Box 328
Aguada, PR 00602-0328
Phone (787) 868-1945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1703 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1396977781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 328",
"city": "AGUADA",
"state": "PR",
"postal_code": "006020328",
"telephone_number": "787-868-1945",
"fax_number": "787-868-1945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. NATIVO ALERS",
"address_2": "EDIFICIO PLAZA COOPELIA, #205, SEGUNDO PISO",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-868-1945",
"fax_number": "787-868-1945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES",
"first_name": "LUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-18",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.