Individual provider Active NPI

Antonio Cortes, MD

  • Gynecology Physician
  • Rio Piedras, PR
National Provider Identifier
1508835539
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
6820 Issued in PR
Practice address
369 Avenida de Diego Suite 601
Condominio Torre San Francisco
Rio Piedras, PR 00923-3005
Phone
(787) 640-2616
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 6820 PR Primary

Addresses

Primary practice location

369 Avenida de Diego Suite 601
Condominio Torre San Francisco
Rio Piedras, PR 00923-3005

Mailing address

1780 Paseo Dosel
Toa Baja, PR 00949-3927
Phone (787) 640-2616

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131028000109 PR Practitioner - Obstetrics/Gynecology 3678708799 Practice locations: Canovanas, PR; Carolina, PR; Loiza, PR; San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1508835539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 PASEO DOSEL",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493927",
            "telephone_number": "787-640-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 AVENIDA DE DIEGO SUITE 601",
            "address_2": "CONDOMINIO TORRE SAN FRANCISCO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009233005",
            "telephone_number": "787-640-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "6820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.