Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | FL116291 | FL |
N | 208600000X | Surgeon | FL116291 | FL |
Y | 2082S0105X | Plastic Hand Surgeon | 270485 | NY |
N | 208200000X | Surgeon | A81602 | CA |
N | 208600000X | Surgeon | A81602 | CA |
NPI | 1932273240 |
---|---|
Provider Name | Raul A Cortes |
First Address | Coconut Grove, FL 33133-2764 |
Second Address | Coconut Grove, FL 33133 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 02/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A816020 | (05) | CA |
I26920 | (02) | |
ME116291 | LICENSE (01) | FL |