Leo A. Cortez, M.d., Inc. | |
76-6225 Kuakini Hwy Suite A-107 Kailua Kona HI 96740-3211 | |
(808) 326-1977 | |
(808) 326-1584 |
Full Name | Leo A. Cortez, M.d., Inc. |
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Speciality | Internal Medicine |
Location | 76-6225 Kuakini Hwy, Kailua Kona, Hawaii |
Authorized Official Name and Position | Leonardo Acosta Cortez (OWNER/PHYSICIAN) |
Authorized Official Contact | 8083261944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leo A. Cortez, M.d., Inc. Po Box 1969 Kealakekua HI 96750-1969 Ph: (808) 326-1944 | Leo A. Cortez, M.d., Inc. 76-6225 Kuakini Hwy Suite A-107 Kailua Kona HI 96740-3211 Ph: (808) 326-1977 |
NPI Number | 1306280821 |
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Provider Enumeration Date | 04/26/2013 |
Last Update Date | 04/26/2013 |
Medicare PECOS PAC ID | 3476819392 |
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Medicare Enrollment ID | O20171109001664 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306280821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Leonardo A Cortez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497845937 PECOS PAC ID: 5799708020 Enrollment ID: I20060112000306 |
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