Organization Active NPI

Cortes Dermatology & Internal Medicine PC

  • Dermatology Physician
  • Aguadilla, PR
National Provider Identifier
1558765446
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
18888 Issued in PR
Legal business name
CORTES DERMATOLOGY & INTERNAL MEDICINE PC
Practice address
Ave Severiano Cuevas
Western Medical Plaza, Suite 19
Aguadilla, PR 00603-0477
Phone
(787) 658-6306
Fax
(787) 658-6308
NPI assigned
Oct 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Gil Y Cortes, MDNPI 1245320308
Title
President
Phone
(787) 658-6306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 18888 PR Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 18907 PR

Addresses

Primary practice location

Ave Severiano Cuevas
Western Medical Plaza, Suite 19
Aguadilla, PR 00603-0477

Mailing address

PO Box 250477
Aguadilla, PR 00604-0477
Phone (787) 658-6306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150212001228 PR Part B Supplier - Clinic/Group Practice 0143545236 Receives reassigned benefits from 1 practitioner
Practice locations: Aguadilla, PR

National Provider Directory

National Provider Directory

Locations

19 Ave Severiano Cuevas
#19
Aguadilla, PR 00603

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1558765446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250477",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040477",
            "telephone_number": "787-658-6306",
            "fax_number": "787-658-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SEVERIANO CUEVAS",
            "address_2": "WESTERN MEDICAL PLAZA, SUITE 19",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006030477",
            "telephone_number": "787-658-6306",
            "fax_number": "787-658-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTES DERMATOLOGY & INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "GIL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-658-6306",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "PR",
            "license": "18888",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.