Provider Demographics
NPI:1891546099
Name:CORTES, MARTIKA
Entity Type:Individual
Prefix:
First Name:MARTIKA
Middle Name:
Last Name:CORTES
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 1:5613 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6242
Mailing Address - Country:US
Mailing Address - Phone:786-495-3499
Mailing Address - Fax:
Practice Address - Street 1:5613 PIERCE ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6242
Practice Address - Country:US
Practice Address - Phone:786-495-3499
Practice Address - Fax:844-765-4756
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula