Cortorreal, Prospero Antonio
Cortorreal, Prospero Antonio is an individual health care provider with primary practice located at 4759 Us Hwy 19 New Port Richey Primary Care Center, New Port Richey FL 34652-4945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cortorreal, Prospero Antonio can be contacted via phone (727) 841-8772.Contact Information
Primary practice address
4759 Us Hwy 19 New Port Richey Primary Care Center
New Port Richey FL 34652-4945
Phone: (727) 841-8772
Fax: (727) 842-4727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME73702 | Florida |
Profile Details
| NPI number | 1669445862 |
|---|---|
| LBN Legal business name | Cortorreal, Prospero Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Sep 29th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669445862 | NPPES |
| Florida | MEDICAID | 256219700 |
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