Provider Demographics
NPI:1710901541
Name:CORTEZ, RAY VALADEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:VALADEZ
Last Name:CORTEZ
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 1:102 BABCOCK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-3952
Mailing Address - Country:US
Mailing Address - Phone:210-572-1430
Mailing Address - Fax:
Practice Address - Street 1:102 BABCOCK RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-3952
Practice Address - Country:US
Practice Address - Phone:210-572-1430
Practice Address - Fax:210-572-1434
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4059208D00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5428691OtherAETNA
TX74-2946869OtherTID
TX8AJ410OtherBCBS
TX8AJ410OtherBCBS