Provider Demographics
NPI:1851941272
Name:CORTEZ, ALMA MARIA
Entity type:Individual
Prefix:MRS
First Name:ALMA
Middle Name:MARIA
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 13TH ST APT 23
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:91932-2323
Mailing Address - Country:US
Mailing Address - Phone:619-616-5024
Mailing Address - Fax:
Practice Address - Street 1:3130 ORCHARD HILL RD
Practice Address - Street 2:
Practice Address - City:BONITA
Practice Address - State:CA
Practice Address - Zip Code:91902-1411
Practice Address - Country:US
Practice Address - Phone:619-806-4102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider