Provider Demographics
NPI:1073357109
Name:CORTEZ, ZAVIER ALLEN
Entity type:Individual
Prefix:
First Name:ZAVIER
Middle Name:ALLEN
Last Name:CORTEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 STONE GAP DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-6150
Mailing Address - Country:US
Mailing Address - Phone:757-636-3812
Mailing Address - Fax:
Practice Address - Street 1:2060 STONE GAP DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-6150
Practice Address - Country:US
Practice Address - Phone:757-636-3812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory