Provider Demographics
NPI:1669480976
Name:CORTINAS, DIANA (MD)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:CORTINAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2708
Mailing Address - Country:US
Mailing Address - Phone:956-631-5411
Mailing Address - Fax:956-631-7129
Practice Address - Street 1:5201 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2708
Practice Address - Country:US
Practice Address - Phone:956-631-5411
Practice Address - Fax:956-631-7129
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX031098902Medicaid
TX8A5054OtherBCBS
TXP00329061OtherRAILROAD
TX031098902Medicaid