Individual
DR. SAMUEL REYNALDO CORTEZ GRANADOS
Active
Individual
DR. SAMUEL REYNALDO CORTEZ GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020019635
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2020019635
MO
208000000X
Pediatrics Physician
2020019635
MO
2080P0205X
Pediatric Endocrinology Physician
Primary
2020019635
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048695
—
MO
Enumeration date
03/20/2017
Last updated
04/17/2025
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