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NPI Code Detail

MEDICARE: JOSE CORTEZ

MEDICARE:   JOSE  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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1811477565
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE CORTEZ
Provider Business Mailing Address
First Line : 6128 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3051
Country : US
Telephone Number : 702-449-8990
Fax Number :
Provider Business Practice Location Address
First Line : 436 N 13TH ST APT D
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-3265
Country : US
Telephone Number : 702-449-8990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2018
Last Update Date : 08/21/2018

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Directions to “ JOSE CORTEZ ” Practice Location

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