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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1669445862 NPPES
Florida MEDICAID 256219700

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