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Mary Cortinas

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

701 S Zarzamora St, San Antonio, TX 78207-5209

PECOS Enrollment

Based on the most recent information from CMS, provider Mary Cortinas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1023705217
Provider Type
Individual
Full Name
Cortinas, Mary
Gender
Female

Sole Proprietor
No
Enumeration Date
4/19/2023
Last Updated
5/14/2024

Contact Information

Practice Location

701 S Zarzamora St, San Antonio, TX 78207-5209

(210) 358-7000

Unlisted Fax

Mailing Location

903 W Martin St # Ms 49-2, San Antonio, TX 78207-0903

(210) 358-5909

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1011201 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Mary Cortinas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Mangum, Susan Patricia

Shaw-Guzman, Stephanie Marie

Levin, Judy Ponce

Luna-Lopez, Brenda Y

Bosley, Veronica Faye

Adams, Angela E

Deutschendorf, Danielle Julia

Reddy, Janie Anu

Shaffer, Brian Todd

Porter, Vanessa Roy