| Cortez Neurosurgery & Neurovascular Services Pc | |
|
508 Cajon St Ste B Redlands CA 92373-5982 | |
| (909) 283-4101 | |
| (909) 283-4105 |
| Full Name | Cortez Neurosurgery & Neurovascular Services Pc |
|---|---|
| Speciality | Neurological Surgery |
| Location | 508 Cajon St Ste B, Redlands, California |
| Authorized Official Name and Position | Vladimir Adriano Cortez (NEUROSURGEON) |
| Authorized Official Contact | 9098092101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cortez Neurosurgery & Neurovascular Services Pc 508 Cajon St Ste B Redlands CA 92373-5982 Ph: (909) 283-4101 | Cortez Neurosurgery & Neurovascular Services Pc 508 Cajon St Ste B Redlands CA 92373-5982 Ph: (909) 283-4101 |
| NPI Number | 1912636556 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 3678927472 |
|---|---|
| Medicare Enrollment ID | O20230927003780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912636556 | NPI | - | NPPES |
| 1687071135 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | (* (Not Available)) | Secondary |
| 207T00000X | Neurological Surgery | (* (Not Available)) | Primary |
| Provider Name | Vladimir A Cortez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629230065 PECOS PAC ID: 2860657798 Enrollment ID: I20120627000443 |
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