MEDICARE: DR. WILMARIE ROSADO CORTES AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	DA14181	AZ
2	231H00000X	Audiologist	182515	AK

General Provider Information

NPI Number	:	1437829173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILMARIE ROSADO CORTES AU.D.

Provider Business Mailing Address
First Line	:	6906 ANDERSON CIR UNIT A
Second Line	:
City	:	JBER
State	:	AK
Zip	:	99506-3441
Country	:	US
Telephone Number	:	787-243-6991
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 N MULDOON RD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-6104
Country	:	US
Telephone Number	:	907-257-4892
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2021
Last Update Date	:	06/22/2026

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