Healthcare Provider Details

I. General information

NPI: 1861098030
Provider Name (Legal Business Name): WILLIAM JOEL CORTES FIGUEROA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2020
Last Update Date: 10/09/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PHSU, 388 ZONA INDUSTRIAL REPARADA 2
PONCE PR
00716
US

IV. Provider business mailing address

JARDINES DE MEDITERRANEO CALLE JARDIN LIBERTAD 393
TOA ALTA PR
00953
US

V. Phone/Fax

Practice location:
  • Phone: 787-840-2575
  • Fax:
Mailing address:
  • Phone: 787-840-2575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number24260
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: