Provider Demographics
NPI:1013342153
Name:CORTES, SULEYKA (DC)
Entity type:Individual
Prefix:DR
First Name:SULEYKA
Middle Name:
Last Name:CORTES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 WINSLOW CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-6034
Mailing Address - Country:US
Mailing Address - Phone:407-561-9204
Mailing Address - Fax:
Practice Address - Street 1:1900 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2331
Practice Address - Country:US
Practice Address - Phone:407-201-4291
Practice Address - Fax:407-201-4298
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10982111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor