Cortes, Rafael A

Cortes, Rafael A is an individual health care provider with primary practice located at 100 Whetstone Pl Suite 105, St Augustine FL 32086-5774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Cortes, Rafael A can be contacted via phone (904) 829-9557.

Contact Information

Primary practice address
100 Whetstone Pl Suite 105 St Augustine FL 32086-5774
Phone: (904) 829-9557
Fax: (904) 829-9125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME90959 Florida

Profile Details

NPI number 1770729816
LBN Legal business name Cortes, Rafael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2008
Last updated Jun 11th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770729816 NPPES
Florida MEDICAID 001047300
Florida Other 003159216A

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