| NPI | 1558846063 |
|---|---|
| Former Name | ALFREDO CORTEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 4485) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2024-06-19 |