Provider Demographics
NPI:1952626368
Name:CORTINAS, ESMERELDA
Entity Type:Individual
Prefix:
First Name:ESMERELDA
Middle Name:
Last Name:CORTINAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ESMERELDA
Other - Middle Name:
Other - Last Name:REYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2335 E SAUNDERS ST
Mailing Address - Street 2:PLAZA 2
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5434
Mailing Address - Country:US
Mailing Address - Phone:956-791-4800
Mailing Address - Fax:956-791-4422
Practice Address - Street 1:2335 E SAUNDERS ST
Practice Address - Street 2:PLAZA 2
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5434
Practice Address - Country:US
Practice Address - Phone:956-791-4800
Practice Address - Fax:956-791-4422
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX354112355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX35411OtherSTATE LICENSE