Active NPI
Pedro L. Cortes Jr., PH.D.
- Clinical Psychologist
- Mayaguez, PR
National Provider Identifier
1972017325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5779
- Practice address
- Professional Building Plaza
Avenida Hostos 770 Suite 302
Mayaguez, PR 00681 - Phone
- (787) 696-4507
- NPI assigned
- Nov 21, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 5779 | PR | Primary |
Addresses
Primary practice location
Professional Building Plaza
Avenida Hostos 770 Suite 302
Mayaguez, PR 00681
Mailing address
P.O. Box 118
Mayaguez, PR 00681
Phone (787) 696-4507
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1972017325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 118",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00681",
"telephone_number": "787-696-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PROFESSIONAL BUILDING PLAZA",
"address_2": "AVENIDA HOSTOS 770 SUITE 302",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00681",
"telephone_number": "787-696-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES",
"first_name": "PEDRO",
"middle_name": "L.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-21",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.