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NPI Code Detail

MEDICARE: CRYSTAL CORTEZ

MEDICARE: CRYSTAL CORTEZ
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
1106S00000XBehavior TechnicianNV

General Provider Information

NPI Number : 1649104001
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL CORTEZ
Provider Business Mailing Address
First Line : 12311 HARVEST SKY WAY UNIT 3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-6100
Country : US
Telephone Number : 408-710-1830
Fax Number :
Provider Business Practice Location Address
First Line : 5765 S RAINBOW BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2537
Country : US
Telephone Number : 702-412-8578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/17/2026

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Directions to “ CRYSTAL CORTEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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