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Organization

ALFREDO CORTES SOTO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALFREDO CORTES (PROPIETRIO)
(787) 252-2068
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TCAMB 288
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50520
PREFERRED MEDICARE CHOICE
PR
Enumeration date
04/02/2007
Last updated
05/21/2008
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