MEDICARE: CRISTINA CORTEZ MD

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	207Q00000X	Family Medicine Physician	L7342	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528055167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINA CORTEZ MD

Provider Business Mailing Address
First Line	:	7579 N LOOP 1604 W STE 100
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2782
Country	:	US
Telephone Number	:	210-695-1900
Fax Number	:	210-695-1901

Provider Business Practice Location Address
First Line	:	6800 W IH 10 STE 200
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-2041
Country	:	US
Telephone Number	:	210-695-1900
Fax Number	:	210-695-1901

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	10/26/2022

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Directions to “ CRISTINA CORTEZ MD” Practice Location

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