Individual
RAFAEL A CORTES-MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
441 WALL BLVD., GRETNA, LA 70056-7723
(504) 371-6550
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12936
PR
207Q00000X
Family Medicine Physician
201171
LA
207Q00000X
Family Medicine Physician
Primary
MD.201171
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05435004
—
MS
05
—
1505960
—
LA
Enumeration date
05/08/2006
Last updated
09/02/2010
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