Provider Demographics
NPI:1003778978
Name:CORTES CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:CORTES CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BETANCOURT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-619-8809
Mailing Address - Street 1:1100 TURNER RD STE D
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-5303
Mailing Address - Country:US
Mailing Address - Phone:787-525-8307
Mailing Address - Fax:
Practice Address - Street 1:1100 TURNER RD STE D
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-5303
Practice Address - Country:US
Practice Address - Phone:787-525-8307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty