Individual
DR. RAFAEL A CORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WHETSTONE PL, SUITE 105, ST AUGUSTINE, FL 32086-5774
(904) 829-9557
(904) 829-9125
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-7205
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME90959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001047300
—
FL
01
—
003159216A
GEORGIA MEDICAID
GA
Enumeration date
12/19/2008
Last updated
06/11/2015
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