Basic Information
Provider Information
NPI: 1497841803
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CORTES
FirstName: ARNOLD
MiddleName: DANIEL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 AVE LA SIERRA APT 118
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009264340
CountryCode: US
TelephoneNumber: 7877487172
FaxNumber: 7876419533
Practice Location
Address1: SAN JUAN VA HOSPITAL, CASIA ST.
Address2: #10
City: SAN JUAN
State: PR
PostalCode: 00921
CountryCode: US
TelephoneNumber: 7876417582
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/04/2006
LastUpdateDate: 08/06/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000X13439PRY Allopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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