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NPI Code Detail

MEDICARE: DR. ZIOLLY S. CORTIJO-CORTES M.D,

MEDICARE: DR. ZIOLLY S. CORTIJO-CORTES M.D,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician17254PR
2208D00000XGeneral Practice PhysicianACN410FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952567216
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZIOLLY S. CORTIJO-CORTES M.D,
Provider Business Mailing Address
First Line : 6675 WESTWOOD BLVD
Second Line : STE 475
City : ORLANDO
State : FL
Zip : 32821-6027
Country : US
Telephone Number : 407-845-0330
Fax Number : 888-972-1752
Provider Business Practice Location Address
First Line : 1044 PLAZA DR
Second Line :
City : KISSIMMEE
State : FL
Zip : 34743-4064
Country : US
Telephone Number : 407-350-5659
Fax Number : 407-350-5662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2008
Last Update Date : 03/27/2018

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Directions to “ DR. ZIOLLY S. CORTIJO-CORTES M.D,” Practice Location

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