MEDICARE: DESI RAE CORTINAS

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	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1780224022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESI RAE CORTINAS

Provider Business Mailing Address
First Line	:	17655 HENDERSON PASS APT 1528
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1561
Country	:	US
Telephone Number	:	956-832-9222
Fax Number	:

Provider Business Practice Location Address
First Line	:	17655 HENDERSON PASS APT 1528
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1561
Country	:	US
Telephone Number	:	956-832-9222
Fax Number	:

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

Provider Enumeration Date	:	01/15/2020
Last Update Date	:	01/15/2020

Similar Medicare Providers

1699842690 — DR. MAURICIO MARCUSHAMER DDS
Practice Location Address:

3006 BROADWAY STE 103
SAN ANTONIO, TX
78209-1561

Practice Phone: 210-225-8888
Practice Fax: 210-225-4195

1962159400 — BROADWAY PEDIATRIC DENTISTRY, PLLC
Practice Location Address:

3006 BROADWAY STE 103
SAN ANTONIO, TX
78209-1561

Practice Phone: 210-225-8888
Practice Fax:

1063412054 — DR. JOLLY SHAH DDS
Practice Location Address:

1761 E CAPITOL EXPY
SAN JOSE, CA
95121-1561

Practice Phone: 408-223-2500
Practice Fax: 408-223-5525

1861436461 — ERNESTO J MUNOZ VILCHES MD
Practice Location Address:

29 CALLE WASHINGTON SUITE 208B , ASHFORD MEDICAL CENTER
SAN JUAN, PR
00907-1561

Practice Phone: 787-721-4836
Practice Fax: 787-721-8448

1013922301 — WALGREEN CO
Practice Location Address:

1795 E CAPITOL EXPY
SAN JOSE, CA
95121-1561

Practice Phone: 408-238-5890
Practice Fax:

1972699304 — MR. JEFFREY ALAN KLEIN MD
Practice Location Address:

30280 RANCHO VIEJO RD
SAN JUAN CAPISTRANO, CA
92675-1561

Practice Phone: 949-248-7641
Practice Fax: 949-248-7321

Directions to “ DESI RAE CORTINAS ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.