Provider Demographics
NPI:1588663710
Name:CORTINAS, JAVIER ELIAS (MD)
Entity Type:Individual
Prefix:
First Name:JAVIER
Middle Name:ELIAS
Last Name:CORTINAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 N 10TH ST #257
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3004
Mailing Address - Country:US
Mailing Address - Phone:956-969-8969
Mailing Address - Fax:956-973-9479
Practice Address - Street 1:5501 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9152
Practice Address - Country:US
Practice Address - Phone:956-969-8969
Practice Address - Fax:956-973-9479
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2939207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137381316Medicaid
TXP00195169Medicare PIN
TX137381316Medicaid
TX8D0769Medicare PIN