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General NPI Number Information
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NPI Number | 1821106790
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Entity Type | Individual
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Provider Name | CRISTINA N CORTES MD
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 929 N US HIGHWAY 441 STE 603
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City | LADY LAKE
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State | FL
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Zip | 32159-3003
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Country | US
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Telephone | 352-775-3565
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Fax | 352-633-3704
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Provider Business Mailing Address
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Address Line | P O BOX 250477
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City | AGUADILLA
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State | PR
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Zip | 00604
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Country | US
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Telephone | 787-658-6306
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Fax | 787-658-6308
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 18907
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME100745
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License Number State | FL
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