# ALFREDO CORTES SOTO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093836785
- **Authorized official:** ALFREDO CORTES (PROPIETRIO)
- **Authorized official phone:** (787) 252-2068

## Contact information

- **Practice address:** ROAD 2 KM 136.9, BO CERRO GORDO, AGUADA, PR 00602
- **Practice address phone:** (787) 252-2068
- **Practice address fax:** (787) 818-0429
- **Mailing address:** PO BOX 5000, SUITE 816, AGUADA, PR 00602-7003
- **Mailing address phone:** (787) 252-2068
- **Mailing address fax:** (787) 818-0429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB 288 | PR | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 05/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50520 | PREFERRED MEDICARE CHOICE | PR |