Provider Demographics
NPI:1164817797
Name:CORTEZ, APOLONIA TRINIDAD
Entity Type:Individual
Prefix:MS
First Name:APOLONIA
Middle Name:TRINIDAD
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 WRIGHT AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-4342
Mailing Address - Country:US
Mailing Address - Phone:408-607-8448
Mailing Address - Fax:
Practice Address - Street 1:45 WRIGHT AVE APT 7
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-4342
Practice Address - Country:US
Practice Address - Phone:408-607-8448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health