Healthcare Provider Details

I. General information

NPI: 1851225783
Provider Name (Legal Business Name): JAZMIN CORTEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3292 PEORIA ST
AURORA CO
80010-1517
US

IV. Provider business mailing address

11555 CULEBRA RD LOT 605
SAN ANTONIO TX
78253-4810
US

V. Phone/Fax

Practice location:
  • Phone: 303-762-6554
  • Fax:
Mailing address:
  • Phone: 714-235-5874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH.002027602
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: