Doctor Name: | MRS. TATIANA MARIE CORTES |
NPI Number: | 1093098386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A |
License Number: | 2842 |
Business Practice Address: | Crr. 110 K.m. 1.2 Int. Bo. Cerro Gordo Aguada, PR - 00602 |
Business Phone Number: | 7872106400 |
Business Fax Number: | |
Mailing Address: | Po Box 514, ANASCO |
State: | PR |
Postal Code: | 006100514 |
Phone Number: | 7872106400 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2011 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 2842 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |