MEDICARE: CORTES CHIROPRACTIC, LLC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1003778978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORTES CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	1100 TURNER RD STE D
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30041-5303
Country	:	US
Telephone Number	:	787-525-8307
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 TURNER RD STE D
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30041-5303
Country	:	US
Telephone Number	:	787-525-8307
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTIC
Name	:	BARBARA BETANCOURT
Credential	:	DC
Telephone Number	:	787-619-8809

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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